I knew of Andersen's conservative leanings prior to listening to this. And, I actually saw that as a positive since the current zeitgeist around this topic is quite radical and not open to contrarian debate. I found this book to be a much needed injection of rationality that challenges some of the radical ideology that is being pushed. Andersen focuses on data and amplifies the voices of doctors and scientists who disagree with some of the medical and psychological advice being purveyed to the families with children who grappling with confusions about their gender identities. He does a nice job laying out a measured, compassionate argument that urges patience and caution and points out the dangers of the permanancies of exogenous medications and surgeries. I also have to give credit to Andersen for looking towards the right side of the political spectrum and challenging the sometimes rigid, ossified interpretations of gender roles as a source of gender confusion in children.