兵庫教育大学大学院連合学校教育学研究科 Acta Medica Okayama 2433-1791 20 2019 性別違和をもつ患者の診療録から見える学校生活場面での困難さ 39 48 EN Okayama University hospital Gender Center Okayama University A school should be a place where every child can feel comfortable and safe. We aimed to shed light upon difficulties in school life in children with gender dysphoria (GD) and find a way to support them. We extracted the episodes in school life from the medical records of 59 patients with GD. They suffered from using gender segregated bookbags, school uniforms, swimming wears, and bathrooms. Sex education was not enough for them to understand GD. Children with male-to-female GD were bullied at school more often than those with female-to-male GD. Teachers should take note of children with GD, and should provide necessary supports in their school life, including the facilities and their relationships with their peers. No potential conflict of interest relevant to this article was reported.