The truth about transgenderism is coming out. On Monday, Michael Shellenberger released a multitude of internal files from the World Professional Association for Transgender Health (WPATH) that “prove that the practice of transgender medicine is neither scientific nor medical.” WPATH has been accepted by the political, cultural, and medical establishments as the authority on transgenderism, but what its members say in private is not the narrative they sell to the public.
Instead of the rigorous, careful, evidence-based medicine that champions of “gender-affirming care” claim to practice, the WPATH files show doctors who are making it up as they go along, smashing through guardrails even though they know that the children they are chemically and surgically altering cannot really give informed consent. And people are noticing.
No wonder the transgender ideologues are worried. The public has proven more resistant than they expected, especially regarding radical policies such as putting men in women’s prisons and girls’ locker rooms, let alone sexually mutilating and sterilizing children. And transgender activists and their allies have no response except to repeat their same failed arguments, just louder.
Consider a recent opinion piece in the New England Journal of Medicine by Michael R. Ulrich, a Boston University professor of law and public health who is also affiliated with Ibram X. Kendi’s scandal-plagued Center for Antiracist Research. Ulrich argues that restrictions on transitioning children are part of a broader right-wing culture war restricting and regulating medicine. There is a lot wrong with this assertion, but the fundamental problem is that so-called gender-affirming care is not medicine.
From puberty blockers to hormones to surgeries, transition is never medically necessary. Transitioning does not cure any disease or correct any physical ailment or injury. Rather, the point of medicalized transition is to disrupt and destroy the normal functioning of healthy bodies.
Ulrich tries to assuage concerns over these procedures by comparing them to “Pediatric chemotherapy and radiation,” which also “have lasting effects on growth development and reproductive capabilities.” Well, yes, but cancer kills people, which is why we are willing to accept serious side effects to treat it — and even then, doctors and patients have to balance the risks of the disease against the risks of treatment. In contrast, there is no physical risk from not receiving “gender-affirming care,” whereas, as the WPATH files show, there is significant, potentially lethal, risks from puberty blockers, cross-sex hormones, and transition surgeries.
This is why the argument for transition always comes down to encouraging people, especially children, to take themselves hostage by threatening suicide. The only harm that can come from not transitioning is self-harm. And so, Ulrich deploys the suicide threats early and often, writing that “it is not hyperbole to say that lives are at risk in states pursuing these bans on needed care.” Ulrich offers no real evidence to back this claim up. He simply presumes that the “high rates of suicide, suicide attempts, and suicidal ideation among transgender young people” would be reduced with affirmation and medical transition.
Ulrich cites just one study as “evidence showing the effectiveness of gender-affirming care in reducing depression, anxiety, and suicide attempts.” But, despite hype to the contrary, that study showed no such thing. Rather, as Jesse Singal explained after it was published in 2022, “the kids who took puberty blockers or hormones experienced no statistically significant mental health improvement during the study. The claim that they did improve, which was presented to the public in the study itself, in publicity materials, and on social media (repeatedly) by one of the authors, is false” (emphasis in original).
No Evidence Regarding Suicide
There is no good evidence that transition prevents suicide, especially for children. Those who identify as trans do have an elevated risk of suicide (though this tends to be exaggerated by activists), but this is best explained by trans-identified individuals also having a much higher rate of mental health problems and trauma — and it doesn’t help to add to these underlying issues the lie that they were somehow born in the wrong body.
This extraordinary claim — that some children are born into the wrong bodies, and therefore must be chemically and surgically reshaped into a facsimile of the opposite sex — is medically unsupported. It is ideological and sexual fantasy masquerading as medicine. There is no good evidence to support transitioning children because gender ideology is just that, an ideology masquerading as medicine. The reality of human nature does not change, even though much of the medical establishment, such as the NEJM, was shamefully eager to capitulate to a small number of aggressive activists.
Rein in the Industry
Therefore, it is not only reasonable, but imperative, for legislators to rein in the transgender industry, and especially to stop the “transitioning” of children. Ulrich and other activists can fulminate about right-wing conspiracies, but it is right and just to ban the surgical and chemical mutilation of children. Many states have done so, thereby proving that gender ideology will not inevitably triumph and claim our children for its own.
This does not mean the fight is over. Indeed, we should expect gender ideologues to become more aggressive as their losses pile up. They thought time would be on their side, and that new research would vindicate them. But their time is running out, and the continued lack of evidence for “gender-affirming care” is pushing them to increasingly brazen lies and distortions as they attempt to justify their collapsing position. And they are also becoming more authoritarian in the places and institutions they do control, as they attempt to impose transgender dogma on the rest of us.
Thus, those opposed to gender ideology must not get cocky. Trans activists and their allies will keep fighting to the bitter end, especially those who have staked their reputations, livelihoods, and self-respect on radical gender ideology. Nonetheless, the end can now be envisioned, even if much work remains to achieve it.
Nathanael Blake is a senior contributor to The Federalist and a postdoctoral fellow at the Ethics and Public Policy Center.
This April marks 40 years since my therapist told me a “sex change” was the only answer to my persistent mental difficulties. Unfortunately, I followed his advice, obtained cross-sex hormones, and underwent surgery. As I learned through my painful experience, “gender-affirming treatment” (GAT), also known as “gender-affirming care,” is medical fraud and malpractice.
A person’s sex cannot be changed. I know. I lived and identified as a woman for eight years. Hormones and surgery didn’t change my sex. I was a man before surgery, and I remained a man after surgery, illustrating the truth of God’s perfect design — two separate and distinct sexes, male and female, innate and unchangeable.
Every step I took to identify as a female did not make me a female but devaluated me as a man, father, and husband. Each step dehumanized my male body and identity. So-called gender-affirming treatment destroyed my life and relationships, as well as those of my family.
The same thing is happening to people today, except at younger ages. I know. I get their emails.
In the decades following my surgery, instead of the “gender” industry dying out, it has run rampant — devaluing, dehumanizing, and destroying thousands of lives. When I fell for the scam, the patients were exclusively adult men. Today, the industry targets vulnerable adolescents of both sexes influenced by the emotional and physical throes of puberty, who can’t be expected to grasp the long-term consequences, such as infertility, bone density loss, and heart problems.
Parents are told their child will die by suicide if the child is denied medicalization, but it’s a myth. The Child and Parental Rights Campaign gathered the scientific evidence: “[T]here is no long-term evidence that puberty blockers, cross-sex hormones or ‘transition’ surgeries prevent suicide. On the contrary, the best long-term research shows that individuals who do go through medical transition kill themselves at a rate 19 times greater than the general population.”
A Path to Sterilization
GAT includes many destructive and devaluing procedures. With social transition, a person adopts a new name and pronouns that erase his original identity. Puberty blockers — drugs with severe, well-known side-effects that stop normal growth and maturation — are administered.
Those are followed by cross-sex hormones — powerful drugs with destructive, known medical side-effects that impose a cross-sex appearance. The final step is surgeries — invasive, destructive procedures to remove healthy breasts and wombs in girls and healthy genitalia in boys.
It’s a path to sterilization. Sperm and eggs don’t mature without going through puberty. When puberty blockers are followed by cross-sex hormones, the teen is permanently sterilized. Some refer to this as chemical castration. Furthermore, to state the obvious, surgically removing testicles or wombs ends any possibility of having biological children.
Affirming a child in the opposite sex is emotional and psychological child abuse. Experimenting on healthy children with powerful drugs and sterilizing surgery is the epitome of medical malpractice and horribly barbaric.
‘Regret Is Rare’
After living eight years identifying as a woman, I still experienced extreme emotional distress and made the decision to detransition, i.e., to go back to living and presenting as the man I am. When I told my gender therapist and sex change surgeon, they assured me I was the only one they had ever heard of who went back.
Curious how I could be the only case in which “sex change” failed to fix gender issues, I launched a website, SexChangeRegret.com, to reach out to others. It turns out my experience wasn’t rare. Over the last ten years, I have heard from hundreds, maybe thousands, of people like me who found that GAT wasn’t the answer.
Research tells a similar story. Regrettable outcomes made the headlines almost 20 years ago. In July 2004, The Guardian reported the results of a review of 100 medical studies in an article tellingly headlined “Sex Changes are Not Effective, Say Researchers.” The article summarized the findings: “There is no conclusive evidence that sex change operations improve the lives of transsexuals, with many people remaining severely distressed and even suicidal after the operation.”
A 2011 long-term follow-up study in Sweden concurs. People who underwent GAT were 19 times more likely to die by suicide than the general population.
Undeterred by the lack of evidence of benefits, enthusiastic “gender experts” in Europe and the United States expanded the dangerous practice to children and adolescents. Pediatric gender clinics sprang up, ignoring evidence that showed most children, if not affirmed as the opposite sex, reconciled their sex with biological reality by the time they reached adulthood. Instead, clinics promoted and offered only GAT.
Finally, in 2022, pediatric gender clinics in Sweden, Finland, and the UK objectively reviewed the evidence. They found the risks outweighed the potential benefits and officially ended the practice of GAT for minors, replacing it with good psychosocial care. Recently, Norway did the same.
Why the U.S. Continues as Others Stop
But in the United States, it’s a different story. The legacy medical establishment pushes radical, risky medicalization, sterilization, and removal of healthy body parts as the only effective treatment for youth — no counseling, no diagnosis and treatment of co-existing disorders, little discussion of the risks and harms, no waiting, no alternatives.
Hospitals apparently salivate over the money to be made by gender clinics, as seen in the video from Vanderbilt University Medical Center’s Pediatric Transgender Clinic in Nashville, Tennessee, in which a doctor describes the surgeries as a “huge money maker” for the hospital.
Recently, a selfless whistleblower from Washington University Transgender Center at St. Louis Children’s Hospital blew the cover off the lack of established protocols and frequency of harm, saying, “what is happening to them [children] is morally and medically appalling.”
Children and their parents need protection from this medical quackery, and they need it now. That’s why lawmakers in several states are pursuing legislation to protect children from harmful medicalization. Arkansas, Arizona, Alabama, Florida, and Texas enacted protections, and several other states are in process: Missouri, Utah, Montana, South Carolina, South Dakota, Mississippi, Tennessee, and Oklahoma.
The state of Florida commissioned a comprehensive evaluation of the benefits and harms of GAT for minors in 2022. The scientifically stringent review exposed a lack of quality evidence showing any benefit, and ample proof of harm. The analysis prompted the Florida medical boards to act and limit the widespread use of hormonal and surgical interventions for youth.
Encouraging Me to Cross-Dress Was Child Abuse
As a child, I was encouraged and affirmed by my grandmother to cross-dress in women’s clothing. She made me a purple chiffon evening dress when I was four years old. It was our secret, she said. Her repeated affirming and loving response to me in the dress proved devastating. It implanted the damaging idea that something must be wrong with me as a boy.
Think of the parallels to today. The public-school environment fosters the same perverse practice on children by teaching students (beginning in kindergarten) a disturbing curriculum that confuses children about their innate identity. Public schools have become indoctrination centers for “gender change” and de facto satellite gender clinics that practice medicine without training, a license, or, in many cases, parental permission.
“The public-school environment fosters the same perverse practice on children by teaching students (beginning in kindergarten) a disturbing curriculum that confuses children about their innate identity. Public schools have become indoctrination centers for “gender change” and de facto satellite gender clinics that practice medicine without training, a license, or, in many cases, parental permission.”
Teachers groom children as early as kindergarten or first grade to think that “there are many genders” and they can choose one. When children seem upset or perplexed about whether they are a girl or a boy, school counselors and teachers stand ready to inappropriately diagnose them as trans and encourage them to take the next step: “Choose a new name and wardrobe for use at school. We’ll keep it a secret from your parents.” Unbeknownst to parents, many school districts prohibit staff from informing parents.
Protect your children from being corrupted and “transitioned.” Take them out of the public school system.
Trans Kids and Parents
As I discovered in my own life, and in the lives of parents and the detransitioners I have had the pleasure to work with, gender distress is a symptom, not a diagnosis. There are many factors driving youth to identify as trans, such as indoctrination and enabling in public schools, local peer group influence and social contagion, and autism or mental disorders.
Other factors are social media apps such as TikTok, sexually charged transgender gaming, and anime. Lastly, there are adverse childhood experiences, such as sexual abuse, emotional abuse, divorce of parents, exposure to pornography, bullying, and other perceived trauma.
Kids don’t need a “gender” therapist or hormones or to cut off healthy body parts. They need parents to shelter them from school indoctrination and peer group and social media influences. They may need a trauma therapist who can help them unearth and address underlying adverse childhood experiences or mental disorders.
My Adverse Childhood Experiences
I can only speculate as to why I wanted to cross-dress and pretend I was a girl. Certainly, my grandma’s obvious delight in me as a girl in the purple dress, not as the scruffy boy in blue jeans, damaged my male identity. Another leading contender was my relationship with my mother.
I never felt my mom, a young 20-year-old at my birth, ever wanted me, loved me, or accepted me. The feeling was confirmed years later, after I detransitioned, when she shared an alarming story with a friend of mine.
Without any shame or remorse, she revealed how she would grab my wrists and yank me up off the floor with one arm and hit my dangling body with a frying pan with the other. I have no memory of this. I must have been very young to be suspended with one hand.
I never hated my mom. I was always trying to win her approval and get her to love me. The sad truth is, at no time in my mom’s lifetime did she ever talk about how much she loved me. Shortly before she died, she revealed to me and my wife that when I was a toddler, she almost killed me by shaking me very hard.
With the benefit of hindsight, it’s easy to guess that a four-year-old boy would prefer being loved and appreciated at grandma’s wearing the purple dress than being yanked up by one arm and hit with a frying pan by an angry mom. My grandma’s affirming me as a girl started my overwhelming desire to change into a female, a longing reinforced by subsequent physical and sexual mistreatment.
The psychological and emotional abuse perpetrated on me as a child was so devaluing and so dehumanizing, I was convinced as an adult by doctors that the only way to heal was to load up on female hormones and let surgeons slice up my body and declare I was now a female. That was 40 years ago. Today, “gender-affirming care” for children is lucrative medical abuse that devalues, destroys, and dehumanizes boys and girls.
Sweden and other countries examined the evidence and ended it. Florida reviewed the high-quality evidence and as a result, Florida medical associations stopped it. The U.K. court reviewed evidence provided by the Tavistock clinic and called it experimental and not suitable for children.
Children need love, real care, and good psychosocial counseling, not a change of identity.
Walt Heyer is an accomplished author and public speaker with a passion for mentoring individuals whose lives have been torn apart by unnecessary gender-change surgery.
Regular viewers know that I am sicken by what is happening to America’s children. I have been asking for a long time, “Why is the political Left so hyper about transgenderism, and mutilating children?” I think I might have some (certainly not all) answers.
Could it be motivated by the “Over-Population” cabal?
The Democrat Party, and the rest of the whacky Left, have always embraced Margaret Sanger and her beliefs that the world is overpopulated. She fought for euthanizing certain people groups, especially black people. She wrote how she was a student of how Hitler killed the Jews.
The Left certainly knows that children that have these cross-sex hormones, surgeries, et., al., CANNOT REPRODUCE. (They also know the alarming amount of people, especially young people, are dying from Fentanyl poisoning, yet won’t close the southern border).
History is full of their manipulative means to control Americans. Could this be one more manipulation?
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American Family Association (AFA), a non-profit 501(c)(3) organization, was founded in 1977 by Donald E. Wildmon, who was the pastor of First United Methodist Church in Southaven, Mississippi, at the time. Since 1977, AFA has been on the frontlines of Ame
American Family Association
American Family Association (AFA), a non-profit 501(c)(3) organization, was founded in 1977 by Donald E. Wildmon, who was the pastor of First United Methodist Church in Southaven, Mississippi, at the time. Since 1977, AFA has been on the frontlines of Ame
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American Family Association
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