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THE WPATH TAPES: Behind-The-Scenes Recordings Reveal What Top Gender Doctors Really Think About Sex Change Procedures

The World Professional Association for Transgender Health (WPATH) is the leading authority in the field of gender medicine. Its guidance is routinely used by top medical associations in the U.S. and abroad, while its standards of care inform insurance companies’ approach to coverage policies.

But behind closed doors, top WPATH doctors discussed, and at times seemed to challenge, the organization’s own published guidelines for sex change procedures and acknowledged pushing experimental medical interventions that can have devastating and irreversible complications, according to exclusive footage obtained by the Daily Caller News Foundation.

WPATH published highly influential clinical guidance called “Standards of Care for the Health of Transgender and Gender Diverse People, Version 8” (SOC 8), which recommends the use of invasive medical interventions such as puberty blockers, cross-sex hormones and sex change surgeries, calling them “safe and effective.”

The DCNF filed a series of public records requests to WPATH SOC 8 co-authors who are employed at taxpayer-funded institutions, making their emails subject to open records laws. Buried in more than 100 pages of responsive records from the University of Nevada was a series of emails between prominent WPATH members and leaders, including WPATH Global Education Institute (GEI) Co-Chair Gail Knudson, that were sent in 2022. In one email, Knudson sent a colleague the link to a folder containing nearly 30 hours of recordings from WPATH’s GEI summit in September 2022 in Montreal, Canada, which included sessions on mental health, puberty blockers, cross-sex hormones and sex change surgery.

These sessions provided WPATH members with in-depth education on the clinical application of topics addressed in the SOC 8 treatment guidelines. However, the footage reveals WPATH-affiliated doctors advocating for children to undergo risky sex change procedures and even pushing for these treatments for patients struggling with severe mental health issues. Several sessions were dedicated exclusively to treating children and included recommendations for minors to receive puberty blockers, cross-sex hormones and surgeries.

For instance, WPATH guidance recommends addressing a patient’s mental health issues before giving them sex change medical interventions. However, in one recorded session, a WPATH faculty member and gender doctor claimed that mental health issues don’t necessarily affect a patient’s ability to receive cross-sex hormones.

READ: Top Psychiatrist Argues Schizophrenic Patients Can Consent To Sex Change Surgeries

In another video, a doctor told attendees children should be informed that cross-sex hormones will likely make them infertile but admitted that he will prescribe them anyway if a child says they want the treatment, regardless of the future consequences.

READ: ‘No Idea About Their Fertility’: Gender Doctors Shed Light On Grim Reality Facing Kids Considering Sex Changes

A surgeon euphemistically referred to a phalloplasty procedure, a surgical series that includes obliterating the vaginal cavity and creating a fake penis with harvested tissue, as an “adventure” for young people. He did this despite later admitting that those same procedures will “definitely” have “complications,” such as permanent issues with bladder function and tissue death.

READ: Gender Doctor Calls Genital Surgery An ‘Adventure’ For Young People While Describing Grisly Complications

One physician called the entire field of cross-sex hormones “off-label,” referring to the concept of drugs being used for alternative purposes than what they were approved for. The doctor went on to say that female patients might actually appreciate drug side effects that cause them to lose hair, because they’d look “more like men.”

READ: Video Shows Prominent Doctors Acknowledging, And Even Challenging, The Experimental Nature Of Sex Change Drugs

The Food and Drug Administration says that when it approves a drug, healthcare providers generally may prescribe that drug for an unapproved use, or off-label, when “they judge that it is medically appropriate for their patient.”

In several other videos, doctors argued in favor of transitioning patients who experience psychotic episodes. One admitted that some of his patients with schizophrenia have to be careful how much cross-sex hormones they take or they can’t “keep the voices down.”

READ: ‘Keep The Voices Down’: In Unearthed Video, Doctors Discuss Putting Mentally Ill Patients, Including Kids, On Hormones

The DCNF consulted medical professionals from respected organizations, such as Do No Harm, who all argued that the comments from WPATH-affiliated doctors show that the transgender medical industry does not have patients’ best interests at heart.

While the average person, nationally and internationally, likely has never heard of WPATH, the modern medical industry is deeply tied to the organization and relies on it to dictate the standards of care for transgender medicine. WPATH’s guidelines are cited as criteria for obtaining insurance coverage by both private insurance companies and tax-funded insurance plans, positioning them as a lynchpin of the sex reassignment industry.

Additionally, their guidelines help inform policy statements from major medical and professional organizations, such as the American Academy of Pediatrics (AAP), the American Psychological Association and the Endocrine Society. The AAP is currently being sued by Isabelle Ayala, a former patient who was medically transitioned as a child, for allegedly rushing her through sex change medical procedures.

There’s been an explosion in the number of young people, including children, being put on hormones and puberty blockers and getting sex change surgeries, according to a study published in August 2023 by the JAMA Network. This surge has been fueled, in part, by groups like Planned Parenthood, which distributes cross-sex hormones to patients as young as 16. Planned Parenthood saw a roughly 125% jump in the number of transgender services it provided between 2020 and 2022.

Twenty-three states, however, have enacted legislation preventing doctors from performing sex change surgeries on minors amid backlash from concerned parents and doctors who don’t subscribe to the WPATH-endorsed “gender-affirming care” model. Gender-affirming care is another euphemism used by medical professionals to describe the idea that doctors should affirm a patient’s wish to live as the opposite biological sex through social transitioning, hormone therapy and even surgery.

The SOC 8 was released just days ahead of the 2022 symposium and contained several significant changes to how doctors and medical institutions implemented transgender medical treatment. For instance, WPATH removed minimum age requirements criteria that established when a child can or should receive transgender medical services such as puberty blockers, cross-sex hormones, and sex reassignment surgeries.

WPATH’s previous guidelines recommended that hormone therapy be given once a patient was over the age of 16, but the updated version removed this barrier and suggests hormone therapy begin at the first signs of sexual maturity.

The videos obtained by the DCNF give the first glimpse at how doctors and mental health professionals discussed implementing the new guidelines. To highlight the most significant portions of the content obtained in the records requests, the DCNF has decided to publish a series of articles collectively called “The WPATH Tapes.”

Following this release, the DCNF intends to publish all of the videos in their entirety in order to provide the public with necessary information about WPATH’s approach to medical care and shine a light on an influential organization that has largely remained anonymous until now.

The WPATH Tapes Table of Contents:

  1. Video Shows Prominent Doctors Acknowledging, And Even Challenging, The Experimental Nature Of Sex Change Drugs
  2. Top Psychiatrist Argues Schizophrenic Patients Can Consent To Sex Change Surgeries
  3. ‘Keep The Voices Down’: In Unearthed Video, Doctors Discuss Putting Mentally Ill Patients, Including Kids, On Hormones
  4. Gender Doctor Calls Genital Surgery An ‘Adventure’ For Young People While Describing Grisly Complications
  5. ‘No Idea About Their Fertility’: Gender Doctors Shed Light On Grim Reality Facing Kids Considering Sex Changes
  6. Leader Of Gender Medicine Org Says Binary Sex ‘Doesn’t Really Hold True,’ Cheers On ‘Deconstructed’ Biology
  7. Private Footage Reveals Leading Medical Org’s Efforts To ‘Normalize’ Gender Ideology





EXCLUSIVE: Prominent Psychologist Talks Nonstop About Gender-Transitioning 3-Year-Olds During Medical Training Course

Gender Doctor Calls Genital Surgery An ‘Adventure’ For Young People While Describing Grisly Complications

‘Keep The Voices Down’: In Unearthed Video, Doctors Discuss Putting Mentally Ill Patients, Including Kids, On Hormones

EXCLUSIVE: Top Doctors Complain Detransitioners Posed ‘Harm’ To Trans Members At Medical Conference

EXCLUSIVE: Gender Doctor Says Parents Who Oppose Transitioning Their Kid Have ‘Mental Illness’

EDITORS NOTE: This Daily Caller column is republished with permission. ©All rights reserved.

All content created by the Daily Caller News Foundation, an independent and nonpartisan newswire service, is available without charge to any legitimate news publisher that can provide a large audience. All republished articles must include our logo, our reporter’s byline and their DCNF affiliation. For any questions about our guidelines or partnering with us, please contact licensing@dailycallernewsfoundation.org.

Medical Associations Silent After Review Finds ‘Weak Evidence’ For Giving Puberty Blockers To Kids

Major medical associations have remained silent after the results of a four-year review commissioned by the National Health Service (NHS) England undermined their recommendations for giving puberty blockers to children with gender dysphoria

The Cass report, conducted by former Royal College of Pediatrics and Child Health Dr. Hilary Cass and released April 10, found that there is “weak evidence” for offering puberty blockers to children. It concluded that its findings “raise questions about the quality of currently available guidelines” offered by associations like the World Professional Association for Transgender Health (WPATH) and the Endocrine Society, yet neither organization has committed to reviewing their guidelines.

The review references a letter recommending against treating children with puberty blockers outside of a research setting. It also urged “extreme caution” for providing cross-sex hormones to minors under 18 and stressed the need for a “clear clinical rationale.”

The review further suggested a “full programme of research be established” to “look at the characteristics, interventions and outcomes of every young person presenting to the NHS gender services.”

“Although a diagnosis of gender dysphoria has been seen as necessary for initiating medical treatment, it is not reliably predictive of whether that young person will have longstanding gender incongruence in the future, or whether medical intervention will be the best option for them,” the report noted.

The American Medical Association, WPATH, American Academy of Pediatrics, American Academy of Child & Adolescent Psychiatry (AACAP) and Endocrine Society did not respond to multiple inquiries over the past week from the Daily Caller News Foundation asking whether they had concerns with the report’s findings or intended to conduct their own review. Aside from WPATH,  these organizations have largely failed to even address the report publicly.

WPATH wrote in a statement that it “supports policies that increase access to high-quality ethical care for transgender youth,” claiming that the report’s foundation is rooted in a “false premise.”

The organization’s standards of care 8th version states that waiting several years to start a young adolescent on puberty blockers “is not always practical nor necessary given the premise of the treatment as a means to buy time while avoiding distress from irreversible pubertal changes,” though it acknowledges that establishing a “sustained experience of gender incongruence” can be important before starting.

“The foundation of the Cass report is rooted in the false premise that non-medical alternatives to care will result in less adolescent distress for most adolescents and is based on a lack of knowledge of and experience working with this patient population,” the organization said in a press release. “It is harmful to perpetuate this notion and does not acknowledge the very real fact that medical pathways are an important treatment option for many young people.”

The Endocrine Society characterizes puberty blockers as a “reversible pause to puberty” and “a first step in treatment to allow the adolescent to explore their gender identity and/or to provide relief from distress.” WPATH’s guidelines likewise recommend putting adolescents on “puberty suppressing hormones” to “alleviate gender dysphoria.”

WPATH physicians acknowledged puberty blockers can cause irreversible consequences in minors like infertility, bone loss and disruption of brain development in educational sessions from September 2022 previously obtained by the Daily Caller News Foundation.

Both the AMA and AACAP recommend WPATH’s guidance for handling gender dysphoria in children. The AMA often advocates against red state laws that ban sex-change procedures for minors, including puberty blockers.

The Cass report notes “there is no evidence that puberty blockers buy time to think, and some concern that they may change the trajectory of psychosexual and gender identity development.”

The Cass report also questioned WPATH and the Endocrine Society on the “circularity” of their citations, which make support for their positions appear stronger than they are.

Early versions of the two organization’s guidelines influenced “nearly all” guidelines set by other organizations, the report notes. The two organization’s guidelines are also “closely interlinked” because WPATH provided input on the Endocrine Society recommendations, according to the report.

“The circularity of this approach may explain why there has been an apparent consensus on key areas of practice despite the evidence being poor,” the report stated.




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EDITORS NOTE: This Daily Caller column is republished with permission. ©All rights reserved.

All content created by the Daily Caller News Foundation, an independent and nonpartisan newswire service, is available without charge to any legitimate news publisher that can provide a large audience. All republished articles must include our logo, our reporter’s byline and their DCNF affiliation. For any questions about our guidelines or partnering with us, please contact licensing@dailycallernewsfoundation.org.

Advocates Say WPATH Could ‘Come Crashing Down’ As Judge Demands Treasure Trove Of Internal Documents

The World Professional Association of Transgender Health (WPATH) is facing a potential bloodbath, advocates say, after an Alabama judge subpoenaed a treasure trove of documents from the organization as part of an ongoing lawsuit over the state’s laws on transgender treatments.

WPATH is a leading advocate of child sex changes, recently pushing to remove any minimum age requirement to undergo sex change surgeries or cross-sex hormone therapy. Amy Tishelman, the author of the “Child” chapter in the 8th edition of WPATH’s guidelines, said she changed the guidelines so doctors wouldn’t “be sued because they weren’t following exactly what we said.”

U.S. hospitals such as Johns Hopkins, Stanford and Brigham and Women’s use WPATH’s guidelines to guide their own practice of treating transgender-identifying children.

A federal judge in Alabama requested WPATH supply documents pertaining to its guidelines for child sex changes in March. Plaintiffs suing the state of Alabama over its restrictions of child sex changes repeatedly referred to WPATH’s guidelines in their argumentation.

During a similar lawsuit in Florida, a district court in March ordered WPATH, the Endocrine Society and the American Academy of Pediatrics (AAP) to comply with a subpoena of all documents related to their guidance for transgender-identified kids. An amicus brief filed April 7 on behalf of the attorneys general (AGs) for 17 states highlighted the stark contrast between transgender guidance — especially for minors — in Europe with that of the medical establishment in the U.S. The brief also claimed the medical organizations in question are activist in nature.

“I think there’s a good chance that the whole thing will come crashing down when the data are out there,” Dr. Stanley Goldfarb, board chair of the medical group Do No Harm, told The Daily Caller, “and that they really know that there’s no good scientific basis for this out there and they’re just going ahead and implementing an ideology rather than rigorously defined medical treatment.”

“The bottom line is the truth is now coming out, the writing’s on the wall,” January LittleJohn, a parental advocate, told The Daily Caller. “And the truth is coming out at that all of the times where they were relying on this garbage evidence, this very low quality evidence, they were doing these interventions on children with nothing to back it up. And then you have the American Academy of Pediatrics, the AMA, The Endocrine Society all blindly following these guidelines. And now they’re being held accountable.”

WPATH set standards of care for those with a “eunuch” gender identity in 2022, recommending castration as a treatment option. Recommended treatments options included hormone suppression, orchiectomy (removal of the testicles) to stop production of testosterone, orchiectomy with or without penectomy to alter the body to match their self-image and orchiectomy followed by hormone replacement with testosterone or estrogen. In creating these guidelines, WPATH used information from the Eunuch Archive in setting these standards of care, which the medical organization itself described as “filled with fantasy,” containing stories of child castration, pedophilia and sexual torture.

WPATH has also been accused of censoring viewpoints from doctors who believe that children are being rushed into sex changes. In Alabama, the judge asked for information related to how the WPATH treated differing medical opinions on child sex changes.

Dr. Stephen B. Levine, a psychologist known for his work on human sexuality and chair of WPATH’s standards of care committee from 1997-98, filed expert opinion in the ongoing lawsuit between WPATH and Florida in April.

“WPATH claims to speak for the medical profession; however, it does not welcome skepticism and therefore, deviates from the philosophical core of medical science,” he said. “There are pediatricians, psychiatrists, endocrinologists, and surgeons who object strongly, on professional grounds, to transitioning children and providing affirmation in a transgender identity as the first treatment option.”

“So the question is, are they allowing people that are rigorous investigators to do this?” Goldfarb told The Daily Caller. “Or are they simply taking people who have set up gender clinics, and they said, yeah, you’re an expert because you’re on our side. And that’s what needs to be clarified.”



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EDITORS NOTE: This Daily Caller column is republished with permission. ©All rights reserved.

White House To Host ‘Roundtable On Affirming Transgender Kids’

The White House will host a “Roundtable on Affirming Transgender Kids” Friday as part of its observance of “Transgender Day of Visibility,” according to a fact sheet.

The roundtable is part of a push from the administration to support transgenderism, including childhood medical transitions, in the wake of numerous red states restricting the procedures. The discussion will focus on the experiences of children who identify as transgender and their parents in states that have restricted child sex changes, according to the White House.

“Over half of transgender youth say they have seriously considered suicide in the last year because of the discrimination and rejection they face. In the face of these challenges, research shows that, when transgender youth are affirmed and supported, they thrive,” the fact sheet wrote, citing no evidence for either claim.

The suicidality rates of transgender individuals are vastly exaggerated, according to experts in the field, some of whom believe that overemphasis on the suicide narrative can become a self-fulfilling prophecy that encourages young people with gender identity issues to contemplate suicide. Additionally, studies suggesting that cross-sex medical procedures improve mental health are riddled with bias, confounding variables and methodological errors, according to multiple Daily Caller News Foundation reviews.

The White House also issued what it called a “landmark report” on ways to support LGBT youth and issued new guidance for “gender identity inclusion” for public servants.

The White House did not respond to the DCNF’s request for comment.



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EDITORS NOTE: This Daily Caller column is republished with permission. ©All rights reserved.

All content created by the Daily Caller News Foundation, an independent and nonpartisan newswire service, is available without charge to any legitimate news publisher that can provide a large audience. All republished articles must include our logo, our reporter’s byline and their DCNF affiliation. For any questions about our guidelines or partnering with us, please contact licensing@dailycallernewsfoundation.org.

‘Groomed And Preyed Upon’: Young Woman Was Pressured Into Mastectomy, Testosterone As A Child — Now She Regrets It

  • Luka, a 20-year-old woman who began identifying as transgender in adolescence, now regrets taking cross-sex hormones and having a double mastectomy at 16; she says doctors pressured her into medically transitioning. 
  • Her story is a microcosm of what’s happening across the U.S.: thousands of teen girls are undergoing irreversible biomedical interventions to resolve gender identity issues they would likely outgrow on their own, experts say, and doctors are encouraging the medicalization of these minors despite health risks the treatments present. 
  • “My parents were told the same thing so many other parents in these situations are told, ‘Would you rather have a dead daughter or a living son?’ despite the fact that, no matter all my mental health struggles, I had never been suicidal,” Luka told the Daily Caller News Foundation.

Luka was 15 when she was first encouraged by her therapist to come out as transgender while she was hospitalized for mental health issues. A surgeon removed her breasts when she was 16 in a “gender-affirming” double mastectomy, and she went on cross-sex hormones soon after, which permanently changed her face, body and voice.

At 20 years old, Luka now regrets listening to doctors and medical professionals, whom she says misled and manipulated her into undergoing irreversible medical procedures.

“There was no stopping to question if this was the right way to deal with the discomfort I was feeling around my body,” Luka told the Daily Caller News Foundation.

At no point did doctors inform Luka that there were ways to resolve her mental health problems besides transitioning, which she now believes would have been enough to prevent her from going through with the procedures, she told the DCNF. Her doctors appear to have adopted the “gender affirmation approach” promoted by transgender activists: they encourage gender transitions rather than helping patients come to terms with their biological sex.

“The only acceptable answer to any medical professional was to ‘affirm’ what I said instead of offering any alternative ways of dealing with the issues I was suffering from. Those constant affirmations really did push me down the path of further medicalization,” said Luka, whose last name has been withheld to protect her privacy.

Luka is one of a handful of “detransitioners” speaking out against what they see as a medical establishment run amok, committed more to transgender ideology than patient well-being; their fears are backed up by a growing body of experts who believe the medical community is pushing minors onto the gender medicalization path to alleviate normal adolescent woes they would likely outgrow. Luka is sharing her story now in the hope that girls who find themselves thrust into the transgender medical world will slow down and reconsider before socially or medically transitioning.

“According to all the studies ever carried out on gender-distressed children, 80% of these kids grow out of it,” said Stella O’Malley, psychotherapist and founder of Genspect, an organization that is skeptical of the efficacy of the “gender affirmation” approach to gender dysphoria.

Numerous studies have shown similar figures.

“It’s very authoritarian of clinicians to pretend to know which child will persist in their trans identity and which will desist,” O’Malley said. “The rising numbers of detransitioners who transitioned when they were children shows that these clinicians are no less fallible than every other human.”

“We have no way of knowing what sort of adult the child will become and we shouldn’t allow clinicians with an inflated sense of their abilities to have this authority,” she told the DCNF.

The DCNF confirmed the details of Luka’s transition through a review of medical documents and photographs. The names of the clinics and medical professionals involved in her transition have been withheld at her request due to her fear of possible retaliation.

A therapist first encouraged Luka to come out as transgender while she was partially hospitalized for unrelated mental health issues at age 15, as a freshman in high school, she said; this meant she was sleeping at home but spending most days at the hospital. She had expressed general discomfort with her body and said she might be questioning her gender identity, and her therapist told her to come out as transgender to her parents, claiming it was the best way the get the help she needed, Luka told the DCNF.

Luka had only met with that therapist once or twice on a one-on-one basis prior to that meeting, she said. During that therapy session, Luka said she was overwhelmed, shaking with anxiety and nearly blacked out. Afterwards, her parents were told that she was at high risk for suicide if she didn’t transition — a common talking point among transgender activists, politicians and some health care professionals.

“I cannot stress enough how I was not in a good place mentally at that point in time,” she said. “I’d say that first visit to the partial hospital definitely solidified that identity of transgender in me and started that process of social (and later medical) transition, since up until that point I was questioning but hadn’t put any label on myself yet.”

“It was only rather recently after I really was able to take a large step back from having direct interactions with those medical professionals that I was able to process everything and really work through the actual causes of my dysphoria and general discomfort,” she told the DCNF.

Soon after adopting a transgender identity, Luka moved from her all-girls school to a public school, where she began wearing chest binders and going by a new name. Transgender activists refer to this process as “social transition.”

While activists claim the practice is easily reversed, critics say that social transition further confuses children and cements transgender identification.

“Social transition has a critical effect on [transgender identification’s] persistence,” wrote Dr. Stephen B. Levine, a Distinguished Life Fellow of the American Psychiatric Association, in his expert witness statement in a court case over transgender participation in school sports. “It is evident from the scientific literature that engaging in therapy that encourages social transition before or during puberty … is a psychotherapeutic intervention that dramatically changes outcomes.”

“Studies conducted before the widespread use of social transition for young children reported desistance rates in the range of 80-98%, [while] a more recent study reported that fewer than 20% of boys who engaged in a partial or complete social transition before puberty had desisted when surveyed at age 15 or older,” he wrote.

After Luka’s social transition came the more invasive, irreversible treatments.

A therapist she was seeing at her gender clinic recommended she visit a plastic surgery center, she said. Luka did, and underwent a double mastectomy at 16 years old, about a year and a half after “coming out” as transgender. No one at the clinic seemed to have any hesitations about Luka’s age, she said, and the purpose of her appointments prior to surgery were simply to get familiar with the clinic, not to determine if surgery was actually right for her.

“The doctors themselves seemed to have no hesitation about the surgery,” Luka said, noting that the surgery was delayed a few months due to concerns about her mental health and recovery timing. “The initial consultation at the gender identity clinic was around two hours just asking how I felt about things related to gender.”

Double mastectomies, often referred to by doctors and transgender activists as “top surgery,” are frequently recommended to underage girls with gender identity issues; numerous hospitals in the U.S. openly perform them on minors, and some surgeons advertise the procedure on youth-dominated social media platforms like TikTok.

Mastectomies can result in loss of nipple sensation, and some patients choose to have the nipples removed entirely, according to Miami-based plastic surgeon Sidhbh Gallagher, who promoted double mastectomies on TikTok.

There’s no comprehensive data on how many minors have received mastectomies in pursuit of gender transitions in the U.S., but Boston Children’s Hospital performed 65 top surgeries on minors from 2017 to 2020, according to data published by the Journal of Clinical Medicine. The average top surgery patient was 18, and the youngest was 15, according to the review.

At least 1,130 chest surgeries were performed on adolescents (98.6% of whom were female) in the U.S. from 2016 to 2019, according to one study conducted by researchers at Vanderbilt University, but this data only includes hospital settings; it doesn’t account for the patients who had surgeries at private practices or the likely higher number of minors who underwent the procedure from 2020 to 2022.

Doctors often recommend patients take testosterone, referred to as “hormone therapy,” before undergoing mastectomies to promote chest muscle growth, according to the Mayo Clinic. However, Luka said she wasn’t prescribed testosterone until after her surgery.

“After getting surgery at 16, getting on hormones later that fall went very quickly,” she said. “I met with my doctor at the gender clinic, had blood work done and got a prescription for testosterone.”

She continued to take testosterone until earlier this year, at the age of 20, when she realized it hadn’t resolved her underlying problems. It had, however, resulted in a long list of health issues, Luka told the DCNF: she stopped getting her period, her voice grew deeper, she began growing facial hair, her jaw became more square, her figure changed from hourglass to rectangular and she developed a deeper voice.

She also said she was unable to cry while taking testosterone, adding that it affected her thought processes in a way that she struggled to describe.

Gender transitions are an off-label use of testosterone that has not been approved by the Food and Drug Administration, and the side effects still aren’t fully known, according to Kaiser Permanente. The drug can result in permanent infertility and carries the risks of high blood pressure, strokes, heart attacks, cancer, liver damage, weight gain and diabetes.

Medical professionals convinced Luka’s parents to allow her to have the procedures, she said, by telling them their daughter might commit suicide if she didn’t medically transition. She doesn’t blame her parents for what happened, and says they were just trusting a medical system that was supposed to help her.

“My mom was very concerned and opposed to the idea of me getting surgery, but was bullied by my dad and pressured by the doctors and therapists into being ok with it,” she said. “My parents were told the same thing so many other parents in these situations are told, ‘Would you rather have a dead daughter or a living son?’ despite the fact that, no matter all my mental health struggles, I had never been suicidal.”

Other detransitioners have come forward with similar stories; one young woman, Chloe Cole, is suing Kaiser Permanente for fraud after the hospital allegedly told her parents that her gender issues would never go away and that she was at high risk for suicide if she didn’t medically transition. After undergoing puberty blockers, hormones and a double mastectomy beginning at age 13, her gender dysphoria did go away; she is no longer transgender and, like Luka, she regrets the procedures.

“Chloe’s doctors coerced her into a life-altering and highly invasive medical treatment by concealing from her less invasive treatment options and by lying to her about her condition,” Harmeet Dhillon, one of Cole’s attorneys, told the DCNF. “This predatory and barbaric behavior from medical professionals needs to stop. ”

Dr. Joseph Burgo, a clinical psychologist, said some medical professionals ignore the various mental health issues young patients may have and instead focus solely on gender dysphoria, viewing their other problems as mere extensions of gender identity issues and the result of discrimination and mistreatment they may face.

“The current term used to describe this very real phenomenon is ‘diagnostic overshadowing,’ where a diagnosis of transgender identity takes precedence over all other mental health issues and becomes the sole focus of treatment,” Burgo told the DCNF. “Some practitioners hold that those other mental issues are caused by so-called ‘minority stress’ (non-acceptance of trans identities by society) and will actually be resolved through medical transition.”

World Professional Association for Transgender Health (WPATH) and the American Academy of Pediatrics support cross-sex medical procedures for minors, which are legal in most states and widely defended by Democratic politicians. However, a growing number of health care professionals are coming out against the procedures, citing health risks and a lack of evidence of their safety and efficacy.

More than 1,700 medical professionals and concerned parents recently signed a declaration condemning WPATH’s guidelines over concerns about ethics, child safeguarding and the group’s alleged mischaracterization of scientific data. WPATH had removed age minimums for many cross-sex procedures, invalidated the experiences of detrantitioners and ignored scientific skepticism of cross-sex procedures to adhere to ideological positions, the declaration argued.

By ceasing her transition and speaking out, Luka joins a growing cohort of young people who adopted transgender identities, underwent cross-sex medical procedures in adolescence and eventually regretted it. These so-called detransitioners are largely female, and they often attribute their gender identity issues to social contagion or to pressure from transgender activists on social media.

“I would definitely say social media played a role in keeping the process of everything going, as well as some issues with being groomed and preyed upon by people online,” she said. “That probably played a much bigger role than any social contagion aspect.”

Transgender activists claim transition regret is rare, but the systematic review they often cite only counted patients who had undergone surgeries and omitted patients who had only taken puberty blockers and/or hormones. Likewise, the study’s data stretched back to 1989, long before medical transitions became common and readily available. It will likely take years to get more complete data on how many young women who transitioned recently will come to regret their decision.

Luka no longer identifies as transgender, and she avoids interacting with the transgender community. When she began questioning components of gender ideology, including childhood medical transitions, she said members of the transgender community shunned and shamed her.

As for her future, she wants a normal life and is waiting to see how she can recover from her transition.

“I want to get through university, find a job and hopefully in the future find someone, get married and have a family, some of which is definitely dependent on finding out if the damage done from transitioning can be undone,” she said.



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Trans Biden Official Sought Justification For Performing Kids’ Sex Changes From Children’s Hospital

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Massive Florida Medical Center Boasted Of Helping Child Get ‘Gender-Affirming’ Surgery, Hormones

  • UF Health’s Youth Gender Program offers medical treatments to minors to help them present as the opposite sex; the program boasted about helping a minor undergo hormones and feminizing facial surgery and obtain a referral for “gender affirmation surgery,” according to the institution’s website.
  • UF Health did not respond to dozens of requests for comment from the Daily Caller News Foundation and ignored many requests for their age guidelines.
  • “Your parents may not understand and may fight your transition, but this is the way you were born,” one patient said in a UF Health testimonial prominently featured on their website. “Your authentic life is worth fighting for.”

UF Health, a medical network affiliated with the University of Florida located in Gainesville and Jacksonville, boasted about helping a child with gender dysphoria undergo hormone blockers and surgeries in a testimonial on their website.

UF Health’s Youth Gender Program boasts of nationally recognized endocrinologists who specialize in administering pubertal suppression and cross-sex hormone medications to minors and connects children and their families with a host of resources that unquestioningly encourage medical transition for children. One testimonial on their website highlights a minor who, with the help of UF Health, received facial surgery, hormone blockers and a referral for an unspecified cross-sex surgery before turning 18.

The patient, referred to as “Hunter,” underwent hormone blocker injections and sperm cryopreservation as a minor upon adopting a transgender identity at age 15 after watching “I Am Jazz,” a show about a transgender child, according to a testimonial featured prominently on the Youth Gender Program’s website. Hunter received facial feminization surgery, which can include altering the hairline, shaving down the chin and jawbone or augmenting the lips and nose, upon turning 16 with the help of then-UF Health clinical psychologist Anyaliese Hancock-Smith, and was slated to undergo “gender affirmation surgery” in the summer of 2017.

“At the age of 15, Hunter was watching TLC’s transgender reality series, I am Jazz, when she realized she could no longer continue living uncomfortably in the wrong body. Hunter immediately ran into her mother’s room and told her she needed to be on puberty blocking medication,” the testimonial reads.

Hunter was 17 in April 2017, and it is unclear whether the adolescent turned 18 before the surgery; it’s also unclear precisely which surgery Hunter had and whether UF Health performed it or wrote a referral, though Hunter vaguely gives credit to UF Health.

“After meeting with Dr. Silverstein and being diagnosed with Gender Dysphoria, Hunter was prescribed hormone blocker injections and later underwent sperm cryopreservation, a procedure which would eventually allow her to produce biologic children if she wishes,” the post read. “Hunter now believes she looks on the outside like the gender she has always been on the inside, and she credits much of it to her team at UF Health.”

“Hunter now meets with clinical psychologist Anyaliese Hancock-Smith, Ph.D., who assisted Hunter in healthy development of gender identity and expression congruency. This included Hunter getting some facial feminization surgery for her 16th birthday,” the post continued. “Now seventeen years old, Hunter is preparing to have gender affirmation surgery in the summer of 2017, which will allow her to finally feel comfortable in her own skin. She hopes her story will inspire others to embrace their true selves.”

UF Health also included a quote from the patient encouraging others to go against their parents’ wishes when pursuing medical transitions.

“Your parents may not understand and may fight your transition, but this is the way you were born,” Hunter said in the testimonial. “Your authentic life is worth fighting for.”

UF’s Youth Gender Program was following about 50 children receiving puberty blockers and had about 200 patients total on hormones, according to data supplied to the Tampa Bay Times. Fewer than 50 patients in the practice had mastectomies, which are not performed on children under 16, according to the Tampa Bay Times.

The program collaborated with transgender activist group Equality Florida, a group that supports childhood gender transitions and has staunchly opposed efforts to limit those procedures for minors in Florida.

UF Health did not respond to dozens of requests for comment from the Daily Caller News Foundation, including numerous requests over phone, voicemail and email for the institution’s age guidelines for gender-related procedures. UF Health also has yet to share records requested through Florida’s freedom of information law regarding its Youth Gender Program.

Many medical professionals criticize administering puberty blockers and performing sex change surgeries on minors, arguing that children can’t consent to the irreversible procedures and questioning their purported benefits. However, prominent medical organizations like the American Academy of Pediatrics support affirming transgender identities through medical procedures, even for minors, and view the procedures as a way to improve adolescents’ mental health.

“All the up-to-date evidence shows that puberty blockers are neither safe nor reversible. The evidence shows that 98% of children who take puberty blockers go on to cross-sex hormones,” Stella O’Malley, an Irish psychotherapist and founder of the gender-critical organization Genspect, told the Daily Caller News Foundation. “We are roughly 10 years into this large-scale experiment and already we have reports on issues with cognitive development, bone mineral density and fertility. It is only with class action suits, like that taken in the UK, will we see a full exploration of this issue.”

Detransitioners, people who regret undergoing medical gender transitions, are also speaking out against the procedures. Helena Kirshner, a young woman who took cross-sex hormones and socially transitioned to a male identity as a teenager, attributed her temporary trans identity to emotional struggles, peer influence and social media.

“The adolescent brain is in a developmental stage primed to incorporate experiences into the process of identity formation,” she wrote in a February Substack post. “At my first appointment, I was prescribed testosterone, and I would remain on this regimen for a year and a half. It had an extremely negative effect on my mental health, and I finally admitted what a disaster it had been when I was 19 … It has not been easy, and the whole experience seriously derailed my life in ways I could never have foreseen when I was that fifteen-year-old kid playing with pronouns on Tumblr.”

The Youth Gender Program offers consultation, psychotherapy and assessment of medical readiness for cross-sex hormone therapy, according to its website; though it does not list surgical procedures it provides for minors, the first item on its resource page is financing advice for “gender confirmation surgery.” Resources for transgender youth also include a guide to “tucking,” or using tape to hide one’s penis, along with various activist groups including GLAAD which are vocal proponents of childhood medical transitions.

The Youth Gender Program claims its services are consistent with World Professional Association For Transgender Health (WPATH) guidelines; WPATH’s most recent standards of care do not list any age restrictions for minors to be eligible for cross-sex procedures including surgeries, and the organization is generally supportive of adolescent medical transition.

Dr. Michael Haller, chief of pediatric endocrinology at the University of Florida, publicly criticized detransitioner Chloe Cole on Twitter in August after she voiced regret about undergoing a medical transition as a minor and criticized the interventionist approach to gender dysphoria that Haller endorses. Cole, who underwent a “gender-affirming” double-mastectomy at age 15 along with cross-sex hormones that permanently altered her voice, no longer identifies as transgender and advocates against sex change procedures for minors.

“She states she was ‘rushed’ through care but notes her first endocrinologist actually said ‘no’ to rapid transition,” Haller wrote. “She sought alternative avenues for treatment. She then speaks as if her case should justify full scale elimination access for all trans patients.”

“You chose internet notoriety over anything that will ever help patients,” he wrote in another tweet.

“At this point, Dr. Haller has a creepy obsession with me. He’s a corrupt Dr. and Prof. who recommends children for double mastectomies and cross sex hormones. Dr. Haller exhibits abusive habits towards outspoken victims of gender care,” Cole wrote

Haller initially agreed to an interview with the DCNF before cancelling and instructing the DCNF to direct questions to an outside organization, the American Academy of Pediatrics, which also did not respond to a request for comment.

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EDITORS NOTE: This Daily Caller column is republished with permission. ©All rights reserved.