The mother of the Los Angeles 8-year-old says he's eager to begin treatment。

When the child was told he could get shots to block breast development, "he was so excited," the mother said。

He also knows he'll eventually be taking testosterone shots for life but surgery right now is uncertain。

The child attends a public school where classmates don't know he is biologically a girl. For that reason, his mother requested anonymity。

She said she explained about having a girl's anatomy but he rejected that, refused to wear dresses, and has insisted on using a boy's name since preschool。

The mother first thought it was a phase, then that her child might be a lesbian, and sought a therapist's help to confirm her suspicion. That's when she first heard the term "gender identity disorder" and learned it's often not something kids outgrow。

Accepting his identity has been difficult for both parents, the woman said. Private schools refused to enroll him as a boy, and the family's pediatrician refused to go along with their request to treat him like a boy. They found a physician who would, Dr Jo Olson, medical director of a transgender clinic at Children's Hospital Los Angeles。

Olson said the journal reports should help persuade more doctors to offer these kids sex-changing treatment or refer them to specialists who will。

"It would be so nice to move this out of the world of mental health, and into the medical world," Olson said。

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