A significant aspect of the controversy around transgender athletes is the question of fairness. Some argue that transgender women may retain physical advantages from male puberty, such as muscle mass and bone density, even after hormone therapy. This argument is often cited by those who believe that transgender women should not compete in women’s categories. However, others point out that sports have always accommodated a range of physical differences, and that inclusion should take precedence, especially given the relatively small number of transgender athletes competing at the elite level. The debate is ongoing, with no easy answers, as it touches on both ethical considerations and the core values of competitive sports.