In very young children (4 or younger), exploring gender identity is actually pretty common. If they continue to show signs that their gender identity may not match with their sex assigned at birth, you may want to discuss this with their pediatrician or a mental health provider, particularly if the child seems upset, distressed, or anxious. The focus of care should be on ways to support your child and family. Since gender identity is not a choice, trying to “force” a child to change their gender identity is not helpful and could lead to additional concerns.