The Pediatric Grand Rounds 2017-2018 session continues with a visit from Professor and Founding Chair of Western Michigan University Homer Stryker MD School of Medicine's Department of Pediatric and Adolescent Medicine, Donald E. Greydanus, MD. Never one to shy from controversial subjects, Dr. Greydanus helps us navigate myriad diagnostic and philosophical conflicts to a better understanding of the pediatrician's responsibility to transgender patients in Issues of Gender Dysphoria in Health Care.