Josie is unique not only because she transitioned from being biologically male to identifying as female at such a young age, but because she and her family are so public about it.
The family has been criticized for going public with it but says they’re just following Josie’s lead. Josie, who is biologically male, has been adamant since she was three that she is a girl and transgender.
“I think we’re seeing a generational shift right now. It used to be that children would have never even thought about telling their parents something like this. They would have had a spanking or worse,” Pearson says. “Ask the person who transitioned at 50 and they usually knew when they were 5 or 6, but knew they shouldn’t talk about it.
Josie and her parents expect she will have sexual reassignment surgery when she becomes an adult.