Payton McNabb

Injured volleyball player and campaigner

Payton McNabb, the North Carolina volleyball player who suffered brain damage after being struck by a male opponent, joined Stella O'Malley, Mia Hughes and Dr Bret Alderman to describe her recovery and legal fight - a case British schools, universities and sports bodies cannot keep treating as a distant American story.

Payton McNabb became a reluctant figurehead for the debate over sex and fairness in women's sport after she was struck in the head by a male opponent playing in a girls' volleyball match in North Carolina. She suffered a concussion and lasting neurological damage, including partial paralysis and vision problems, and went on to pursue a legal case over the injury. She appeared on Beyond Gender in the episode "She Was Injured by a Male Player. Now She's Speaking Out", in conversation with Dr Bret Alderman, describing how she rebuilt her life after the hit and the course of her legal fight.

For British readers, her account lands at a moment when the same question keeps arising in UK schools, universities and amateur sport: whether self-identification should override biological sex in competitive, contact settings, and who absorbs the physical risk when it does. The Cass Review examined the evidence base for paediatric gender medicine, but questions about mixed-sex contact sport have largely been left to individual schools, universities and sporting bodies to work out on their own, often under pressure to avoid appearing exclusionary. McNabb's injury gives that abstract debate a concrete, physical cost.

Her case also speaks to a wider pattern British listeners will recognise from the Tavistock and NHS gender services controversies: institutions adopting policies on sex and gender with little public debate, and individuals, often women and girls, left to bear the consequences when those policies collide with physical reality on a court or pitch. McNabb's willingness to speak publicly, and to pursue her case through the courts rather than stay silent, offers a template UK governing bodies and school administrators may increasingly have to reckon with as similar incidents and disputes surface closer to home.

Listeners can hear her full account, including how she has rebuilt her life since the injury, on the Beyond Gender podcast episode featuring Dr Bret Alderman.

Episodes with Payton McNabb