OSAKA, Japan — When the principal at a middle school in Osaka, a few hours west of Tokyo, insisted one of his new students do gym classes with the boys, the child's mother turned to the only person who could help: Dr. Jun Koh. It was the spring of , and the student was entering junior high at her new school. Back in first grade, when the Osaka student began insisting on wearing skirts, Koh was able to reassure her mother that there was nothing wrong with a boy wearing girls' clothes. Later, in the fifth grade, the student wrote a will after the teasing she faced in the boys' locker room left her contemplating suicide. So they turned to Koh again, and he helped get the school comfortable with the idea of the student living as a girl full-time.
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