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World Athletics policy narrowly defines female athletes, creating contested bodies in elite sport. Framed by feminist cultural studies and transfeminism, we discuss the eligibility rules and their real-life impact. Women with naturally elevated endogenous testosterone (hyperandrogenism) are being treated as if they are cheating. That high testosterone in female bodies has been deemed an unfair competitive advantage is consistent with dominant cultural narratives rather than the research about testosterone and sport performance. Applying an intersectional lens, it becomes clear that race, region, class, and nation intersect so that women athletes from the Global South are disproportionately affected by the eligibility regulations. This creation of contested bodies has led to critical mental and physical health outcomes. Cherry-picking one biological component of a body as the cause of exceptional performance in elite sport is irresponsible. Instead, we need education, compassion, and to follow sound science grounded in moral and ethical research.

This article examines developments in gender policies in sport in relation to recent changes in transsexual rights legislation and gender identity activism. The Gay Games has developed a gender identity policy about “men, women, transgender and intersex” athletes. In 2004, the International Olympic Committee (IOC) introduced the Stockholm Consensus on sex reassignment surgery to allow “transsexual” athletes to compete at the Olympics. These developments do not indicate an overall increase in the acceptance of gender variance in the world of sport; rather, there has been ongoing resistance to inclusive gender policies in mainstream sport organizations. I argue this resistance is based on anxieties about the instability of the male/female gender binary and the emergence of queer gender subjectivities within women’s, gay, and mainstream sporting communities.