What do the terms sex and gender identity, or gender history, mean in a medical context? When does it matter to a healthcare professional whether a patient has male or female reproductive biology? How should a doctor approach a patient who does not wish for their biological sex to be openly acknowledged? The General Medical Council (GMC) advises doctors that transgender patients may have the marker for their sex amended to instead reflect their gender identity. This paper will attempt to critically examine two key points in the GMC trans healthcare ethical advice using Beauchamp and Childress’ Four Principles approach, exploring how doctors might consider an incongruence between sex and gender identity in clinical practice.

中文翻译：

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对病历进行绝育？在总医务委员会的跨医疗保健伦理建议中对性别与性别认同进行检验

在医学背景下，性别和性别认同或性别史是什么意思？何时患者具有男性或女性生殖生物学对医疗保健专业人员而言何时重要？医生应如何接近不希望其生物学性得到公开承认的患者？通用医学委员会（GMC）建议医生，变性患者可以对性别标记进行修改，以反映其性别认同。本文将尝试使用Beauchamp和Childress的“四个原则”方法对GMC跨医疗保健伦理建议中的两个关键点进行批判性检查，探讨医生在临床实践中如何考虑性别与性别认同之间的不一致。