Researched for clarity and written for time saving by ChatGPT
Something important just happened — quietly.
The American Society of Plastic Surgeons, one of the largest professional bodies representing plastic surgeons, has stated that there is insufficient high-quality evidence to support gender-related surgical interventions in minors and has recommended delaying these surgeries until adulthood.
No media frenzy.
No round-the-clock coverage.
Just a medical organization finally slowing things down.
That alone should make us pause.
A very simple question
We don’t allow children to:
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drive a car
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sign contracts
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take on debt
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drink alcohol
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vote
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enlist in the military
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get tattoos
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eat chocolate for every meal
Not because children are foolish — but because their brains and judgment are still developing.
We don't allow them to smoke legal recreational cannabis either though this argument was used to stall regulation changes for decades.
Yet somehow, we decided that a child could:
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declare they are not male or female
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consent to irreversible medical procedures
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permanently alter healthy organs
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accept lifelong medical dependence
That doesn’t weigh out.
You don’t need politics to see it.
You don’t need ideology.
You just need basic reasoning.
What the surgeons are actually saying
Stripped of slogans, the message is clear:
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Long-term outcome data is weak or missing
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Benefits do not clearly outweigh risks
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Many interventions are irreversible
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Children cannot fully consent to permanent bodily changes
This isn’t a moral argument.
It’s a medical and now, an ethical one.
Why now?
That’s the part worth asking.
A few likely reasons:
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Legal pressure: Lawsuits from detransitioners and families are increasing:
--According to a recent overview, around 30 detransitioner-related lawsuits were reported in the U.S. as of early 2026, involving claims against healthcare providers about consent or medical negligence.
--For example, one case involved a person who received a double mastectomy as a minor and later successfully sued for medical malpractice, with a jury awarding damages. LINK -
International reversals: Several European countries have already rolled back pediatric medical transition after evidence reviews. (
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Delayed data: Long-term outcomes are finally emerging — and they’re not reassuring.
LINK to Study -
Professional survival: Medicine has learned that staying silent too long carries consequences.
In plain terms: it’s safer to speak now than to explain later.
This isn’t about identity. It’s about limits.
Children can explore.
Children can question.
Children can struggle.
What they should not be asked to do is carry the burden of irreversible medical decisions before they have adult capacity.
That isn’t compassion.
That’s adults stepping away from responsibility.
Real care says:
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Let’s slow down.
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Let’s protect future options.
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Let’s not confuse distress with destiny.
A quiet return to first principles
When a major surgical society says, “We don’t have the evidence to justify this in children,” that isn’t hatred.
It’s medicine remembering its first rule:
Do no harm.
And maybe — just maybe — it’s the beginning of Medical Professionals remembering this oath.
It’s worth noting that plastic surgeons are only one part of this system.
They don’t prescribe puberty blockers or hormones, and they don’t conduct the psychological assessments that often precede medical intervention.
If surgeons are now saying the evidence isn’t strong enough for irreversible procedures in children, the question naturally extends to the other professionals upstream — endocrinologists and psychotherapists — whose decisions shape the path long before surgery is ever discussed.
We await their statement . . .