misconception about transgender people "hormones on demand" A signal term often used by transphobic groups or persons to refer to the informed consent model (ICM) for transgender care. However, this is a misconception of the model, as the ICM website clearly states "the WPATH-SOC does not preclude obtaining patient informed consent, nor does the ICM advocate neglecting clinical judgment or providing surgeries or 'hormones on demand'." Oftentimes, medical gatekeeping can keep trans people from receiving hormone replacement therapy for periods of several years. It is a misconception that hormones are always available for everyone "on demand".