Masterful! Fae dissects an individual tragedy with a combination of compassion and surgical accuracy to shine a harsh light on the scandal of systemic neglect towards vulnerable young trans people. In the process she critiques the wider structural discourse in society that allows and even encourages it. -- Christine Burns MBE, author and retired transgender activist This is an incredibly important book which weaves together the life-story of an individual let down badly by the existing system and the structural and systemic problems that define the system that processes the trans community and societies notion of dysphoria. What Fae does remarkably and sensitively is to humanise all of us, whilst examining waiting lists, costs and numbers, she honours our beautifully vibrant community, who are, time and time again, let down by a system which often view us with suspicion and mistrust. This is a must read. -- Juno Roche, writer and campaigner By bringing together different people's perspectives on an individual life story and combining this with contextual information, Fae has produced a book that is educational yet also dynamic and humane. -- Jennie Kermode, Chair of Trans Media Watch and author of 'Transgender Employees in the Workplace' Transition Denied is written by a third party from a grieving mother's point of view trying to make sense of her daughter's transgender journey and her tragic early death. Synestra's journey should not go unacknowledged. It is a recommended read for a better understanding of a transgender person and shows the barriers that a transgender person has to negotiate. -- Kamilla Kamaruddin, GP Partner, East One Health Surgery, London * British Journal of General Practice *