Pediatric Gender Surgeries Under Review
As major medical organizations continue to back pediatric gender surgeries, Dr. Bob Bass, president of the American Society of Plastic Surgeons (ASPS), has voiced a need for caution. He believes it’s crucial to alert people about the “irreversible nature” of these procedures.
“Based on current observations, we cannot confidently support gender-related surgeries for minors and adolescents due to the uncertainties evident in the data,” Bass stated. He advocates for delaying surgical treatments until individuals reach adulthood.
This week, ASPS published a statement recommending that all breast, genital, and facial surgeries related to gender identity be postponed until patients are at least 19 years old. Bass clarified that this age limit strikes a balance between legal adulthood and the ongoing development that occurs during late adolescence.
Concerns Over Pediatric Gender Surgeries
The decision to revise their stance comes after an ongoing evaluation of existing evidence regarding these surgeries and their effects on younger patients. The ASPS cited the 2024 Cass Review and the 2025 HHS Review, which pointed out significant shortcomings in the research quality surrounding gender medicine for youth, including a paucity of long-term studies on both physical and psychological impacts.
Bass remarked that the data available doesn’t sufficiently clarify the efficacy of treatment, and in some cases, raises concerns about possible harm.
Even though the topic of gender medicine for youth is surrounded by controversy, Bass emphasized that ASPS prioritizes patient safety and stays grounded in current scientific understanding. “We’re dedicated to offering our members guidance that is responsible and reflective of the latest science,” he explained, stressing the importance of recognizing areas of uncertainty to protect vulnerable populations like adolescents and minors.
Patient Autonomy and Informed Decision-Making
Bass emphasized the need for parents and patients to adopt a careful, patient-centered approach. He encouraged them to be proactive in seeking information, asserting their autonomy, and making well-informed decisions regarding treatment options.
“It’s essential to weigh the risks and uncertainties seriously, especially since some interventions can lead to irreversible changes,” he advised, emphasizing the necessity of open discussions with medical professionals.
The U.S. Department of Health and Human Services (HHS) applauded ASPS for this updated position. Secretary Robert F. Kennedy Jr. acknowledged the organization for “standing against over-medicalization and upholding sound science.”
His remarks suggest that this position is aimed at safeguarding future generations from potential irreversible harm.
This announcement is particularly timely, coming right after a significant malpractice lawsuit where a former transgender teenager was awarded a decision against medical providers following a double mastectomy performed when they were just 16 years old.
