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A trial judge's decision to switch custody of two young boys from their mother, who supports her older son's apparent desire to dress and act as a girl, to their father, who rejects the idea that his son is transsexual, has been upheld by an Ohio appeals court.

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The boy asked his mother to call him "Christine" and indicated a preference to wear girl's clothing. Victoria, who did some research on transsexuality and concluded that her son was transsexual, complied with his requests. As well, she took him to an adult transsexual support group, began researching the appropriate age to provide hormone treatments and gender reassignment surgery, and moved the family to a different town where she could register her son in school as a girl.