Addressing children and young people in the foreword to her report, she wrote: "I have been disappointed by the lack of evidence on the long-term impact of taking hormones from an early age; research has let us all down, most importantly you."
It also says representatives from the regional centres should form a national group to oversee ethics, training and to ensure everyone receives "the same high standards of evidence-based care".
"There are few other areas of healthcare where professionals are so afraid to openly discuss their views, where people are vilified on social media, and where name-calling echoes the worst bullying behaviour."
Dr Cass' report warns that this should only be done with "extreme caution" and there should be a "clear clinical rationale for providing hormones at this stage rather than waiting until an individual reaches 18".
The report also warns that younger children should be treated with a "more cautious approach" than adolescents when considering whether to allow them to change their names, pronouns or clothing - known as socially transitioning.
It says those who have not yet reached puberty should be "prioritised for early discussion with a professional with relevant experience" and they should be put on a separate care pathway than older, adolescent patients.
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That's certainly not how I read the report. The intro was mostly focused on how patients have been let down by poor services and practice in favour of ideology.
I have come into possession of an email sent by Patrick Hunter of the Catholic Medical Assn to the Florida BoM, where he says Dr. Cass and her team met to share info with the Florida BoM.
Patrick Hunter was handpicked by DeSantis to ban care, and met with Cass to do so.