On this episode of Unsupervised Learning Razib talks to Christina Buttons, who writes at Buttons Lives. A native Californian and erstwhile artist, Buttons switched to journalism two years ago, writing about gender medicine. A contributor to Quillette, The Post-Millennial and The Daily Wire, Buttons is now a freelance journalist living in Nashville, Tennessee. The first part of the conversation breaks down what “gender medicine” entails in its gory details. In April Razib had a conversation with Colin Wright about the relationship between sex and gender, and the broader philosophical issues entailed by the ideas of gender ideology. But in the discussion with Buttons, Razib asks what it means for a child to transition medically. What are the surgeries that transition a boy to a girl and a girl to a boy? They also discuss different hormone regimes, from those that block normal puberty to those that enhance the secondary sexual characteristics of the target gender to which the individual aims to transition. Buttons discusses why she got interested in the topic, the fraught area of medically transitioning children. She distinguishes her circumspect and focused critiques of gender transition from the catchall broadsides of so-called trans-exclusionary radical feminists and religious conservatives. Razib asks Buttons about her departure from The Daily Wire due to ideological differences, and what it feels like to be a moderate between militant factions to both her left and right. Though originally on the Left, and even woke, today Buttons identifies as a centrist classical liberal, which naturally means she tends to offend a great variety of factions with her individualistic viewpoints. Finally, they discuss youth treatment centers, group homes where self-destructive young people are sent to recover and be rehabilitated. Recently these have been in the news, with Paris Hilton claiming that she and others had been subject to abuse at these centers. Buttons herself spent much of her teens in youth treatment centers, and she believes that Hilton’s case is weak, and shutting down these facilities will result in higher rates of self-harm. Buttons plans on moving to this issue as her next project, because she believes people need to know the truth beyond the sensational headlines.