Anorexia nervosa seems to be rather more common in gender dysphoric male patients than chance would allow.1 The rate of bulimia nervosa seems to be no higher than chance, in both male and female patients. Usually this is childhood or adolescent anorexia, and more often than not it seems not to be a currently active problem. The impression is that the motivation for the disordered eating was the desire to maintain a body weight low enough to preclude gonadal functioning.