According to a new review released by the Trump administration, chemical and surgical amputations of minors, known as child sex change, are based on junk science that lacks ethical justification.
Human Health and Services Department (HHS) has been released review On Thursday, he highlighted the lack of scientific evidence and sexual psychological discomfort in favor of a “gender-affirming” model for treating pediatric gender discomfort. The report details the expected benefits of medical procedures that change child sex are unknown and lack both scientific evidence and ethical justification for its use.
“The evidence for the benefit of the pediatric care transition is very uncertain, but the evidence of harm is less uncertain,” the report states.
Dr. Stanley GoldfarbChairman There's no harmThe Medical Watchdog organization praised the review in a statement provided to The Daily Caller News Foundation.
“American children, especially those suffering from gender confusion, are better than used as political pawns by gender activists. A review of scientific evidence and human services reveals that scientific evidence and best practices in the treatment of childhood gender discomfort expose many serious risks in the medical transition of young people. “This report cites the 'lack of robust evidence' of these medical procedures, and most surprisingly finds that “controlled systematic reviews that leaders believed to undermine their preferred treatment approach.” ”
“Don't do harm. Our peers, researchers and members have warned of children's experimental and irreversible sexual change interventions. We encourage HHS to bring the necessary scrutiny to the gender industry,” Goldfarb added. “It's now more clear than ever that this misguided practice must be ended and replaced with evidence-based treatment for children with gender confusing.”
In the review, HHS directly acknowledges the risk of “significant harm” in treating the psychological problems of gender discomfort using physical child sex interventions such as adolescent blockers, cross-sex hormones, and surgery. (Related: Video shows a challenging prominent physician who acknowledges the experimental nature of sexual drugs.)
“The “gender-affirming” care model includes irreversible endocrine and surgical interventions for minors without physical pathology,” the report states.
“These interventions pose a risk of serious harm, including infertility/infertility, sexual dysfunction, bone density development disorders, adverse effects of cognitive impairment, cardiovascular and metabolic disorders, mental disorders, surgical disorders, and regret.
“Gender-affirming care” is an e-music expression that describes the medical intervention of cosmetic sexual alterations that chemically and surgically cut off an individual's body.
This review concludes with the conclusion that the Medical Association is failing vulnerable children by continuing to provide interventions that change children's sex.
“While clinicians and medical associations are not going to fail patients, especially the most vulnerable patients, the previous chapter shows that this is exactly what happened,” the review states.
New: Today, @hhsgov We have released a comprehensive review of evidence and best practices for treating children with a gender-discomfort.
This review identifies “serious concerns” about sexual change interventions in children.
“Children in America, especially those who suffer from gender…
– Don't harm (@donoharm) May 1, 2025
“The consensus does not guarantee correctness.”
This review looks in detail how major medical associations, such as the World Association for World Specialising in Transgender Health (WPATH), have created unreliable health standards for gender-disturbed children based on ideology, political pressures and medical consensus, rather than observable science.
wpath is a transgender medical association that publishes clinical guidance on sex changes called the latest version Standards of carepublished in September 2022, recommends hormones and surgery to treat children with gender discomfort, and has a widespread impact on the gender healthcare industry. The report states that WPATH guidelines, including insurance reimbursement, providing care at children's hospitals and medical education, are “incorporated into almost every aspect of healthcare.” (WPATH tape: Behind the scenes recording reveals what gender top doctors really think about gender change procedures)
The HHS review points to the false scientific methodology WATH uses in creating standards of care and cites York University research. Cass ReviewApril 2024 report on pediatric sex medicine in the NHS England. York's analysis found that the WPATH CARE T0 criteria were unreliable due to “serious deviations” from standard scientific methodologies.
“The most influential source of clinical guidance for treating pediatrics [Gender Dysphoria] In the US, wpath [Endocrine Society Clinical Practice Guidelines] American Academy of Pediatrics (AAP) Guidance. yoke [systematic review] We rated all three documents as very poor quality and did not recommend it for implementation,” the HHS review states.
Exclusive: A small number of pediatricians performing transgender procedures on children successfully put pressure on major healthcare providers to remove the minimum age of sexual change surgery.
Read on how they did it @megebrock Here ⬇️ https://t.co/wmq2gxcdq2
– Daily Caller (@dailycaller) November 20, 2024
“In spite of their lack of credibility, for over a decade, the WPATH guidelines have served as the foundation for healthcare infrastructure for young people with gender discomfort (GD) in the United States,” the HHS Review states.
WPath did not immediately respond to DCNF's request for comment.
The HHS review also highlights how pressure from the American Academy of Pediatrics can help WPATH remove age minimums from standards of care.
“Unless all age thresholds were excluded, the issue of minimum age resurfaced when the American Academy of Pediatrics (AAP) threatened publicly against SOC-8. It exposed further political pressure when it determined the final content of the guidelines, rather than scientific evidence or clinical judgment,” the review states.
Through a series of public record requests, the DCNF has discovered an email to AAP indicating that they had asked four pediatricians – Jason Rafferty, Ilana Scheller, Juanita Hodax, and Brittany Allen – will review SOC-8 on behalf of the organization in 2022. (Related: Exclusive: Here's how a small band of pediatricians pushed medical organizations to the minimum of Knicks age for sexual change)
The HHS review states that in medicine, “consensus does not guarantee accuracy,” and although several healthcare providers appear to agree that sexual change interventions are the best way to treat children's gender discomfort, this consensus is being promoted by a “minority” medical professional.
“The American Medical Association played an important role in creating the perception that there is a professional consensus to support the pediatric health transition. However, this apparent consensus is driven primarily by a small number of expert committees affected by WPATH. It is not clear that the official views of these associations are shared by the wise medical community or even by a large portion of its members.
WPATH tape: Behind the scenes recording reveals what gender doctors really think about gender change procedures
from: @megebrock and @kliseanderson https://t.co/dsvdc22vzx pic.twitter.com/1eli4kuw9b
– Daily Caller (@dailycaller) May 14, 2024
WPATH's Global Education Initiative
Medical consensus on child sex change treatments is developed in part through education provided by WATH.
According to a review by HHS, WATH is working with “pediatric gender clinics and hospitals, the American Medical Student Association, and the World Health Organization” to provide medical education through the Global Education Initiative (GEI), which offers courses that “act as a core curriculum for clinical training in the United States and around the world.”
Through the request for public records, DCNF obtained a link to a folder containing nearly 30 hours of recordings from WATH's GEI summit in Montreal, Canada in September 2022. The recordings revealed that in a closed room, top WPATH doctors discuss and sometimes seem to be challenging. This acknowledged that, according to exclusive footage obtained by DCNF, the organization's own published guidelines for gender transformation procedures and pushes forward experimental medical interventions that may have catastrophic and irreversible complications.
Recorded by Dr. Daniel Metzger, wpath certified “Children have zero thoughts about their fertility rate,” said a pediatric endocrinologist who works at British Columbia Children's Hospital. Metzger explained that it is unclear how adolescent blockers stop men from developing sperm and whether girls placed in adolescent obstruction during the early stages of puberty, as recommended by WPATH, have eggs that are mature enough to preserve fertility. Metzger also explains how adolescent blockers can affect brain development, increase the risk of osteoporosis and inhibit genital growth, which could microminerize in men. (Related: Exclusive: Top Trans Pediatricians admit in unearthed videos that adolescent blockers are not as “reversible” as they are advertised.)
Dr. Scott Leibovitz, a Jointly leads in the development of adolescent chapters WPATH SOC 8 and current members WPATH Board of Directorsopenly challenged the need for evidence-based medical care in the GEI records obtained by the DCNF.
Leibowitz told GEI audiences that clinicians should not only consider medical evidence when providing interventions to transgender people, but also consider ethical considerations such as “justice” for transgender people.
“There is also an ethical human rights element to treating people, as I said that evidence is part of this regardless of the evidence base. We don't rely on evidence of all the treatments we do in medicine,” Leibowitz said.
“We have to look at the whole: ethics, human rights, justice for trans people.”
Reibovitz also appears to complicate the position of WPATH on sex-change drugs, explaining that generating positive mental health results among gender-inflicted patients and initiating sex crosshormones does not necessarily solve the mental health issues of young people in GEI records.
“I always tell patients you're starting testosterone or estrogen, but it can eventually lead to mental health issues,” Leibovitz said.
“And that's really important because parents say, 'Why do you have mental health issues? You don't get close to your kids by saying they thought that testosterone would be the answer,” added Leibowitz.
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