Sports organizations worldwide are struggling to balance these competing values. Some, like the International Olympic Committee, have shifted toward more flexible frameworks, leaving decisions to individual federations. Others, such as World Athletics, have imposed stricter bans on transgender women in elite female categories. This patchwork of policies reflects the difficulty of reconciling scientific uncertainty with ethical imperatives. Ultimately, the debate forces us to ask: should sport prioritize inclusion even if fairness is questioned, or prioritize fairness even if it excludes some athletes?

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