When Jacob Lemay invites you into his bedroom, he wants to give the full tour. He’ll show you his books, the planets and stars on the wall, his bunk bed and the stuffed animals he’s lined up all in a row.
“This one is Chase, and that one is Zizzy,” he says in the voice of a confident five-year-old. “And that one is Biscuit, and that one is Zarzo, and that one is Cheety, and that one is Snowflake, and that one is Fuzz.”
Jacob is a happy, healthy, well-adjusted pre-schooler. He has two sisters — one older and one younger.
But it wasn’t always this way. In the beginning, his parents Mimi and Joe were raising three daughters.
When Jacob was born, his name was Mia. But by the time he was two, he was telling his parents, “I’m a boy.”
Last year, when he was four, they made a decision: to let him live as he has always identified — as a boy.
Some may think that’s too young to make such a change, but many doctors who specialize in working with transgender children believe it’s right for certain kids — those who show a rock-solid and enduring belief in their gender identity.
“When kids are consistent, persistent, and insistent in a cross-gender identity — and wanting to be the other gender and wanting the other gender’s body parts or being very unhappy with the body parts they’re given — we consider those children very likely to go on and continue a transgender identity,” said Dr. Michelle Forcier, an associate professor of pediatrics at Brown University School of Medicine.
For those children, she and other pediatricians say, it can often be better to make a change sooner.
“The biggest harm is to not do anything,” said Forcier, who is not Jacob’s doctor but has a specialty in treating transgender children.
When a kid is told, ‘I don’t see you,’ ‘I don’t hear you,’ ‘I don’t love you just the way you are,’ that’s a pretty powerful message about conditional love.”
Ask Jacob why he transitioned and his answer is simple and straight-forward: “I wanted to be a boy.”








