Major - American Society of Plastic Surgeons - evidence for gender surgery on children low quality

[fromorbit]

Big news the US medical situation is changing before the first detrans court cases hit.

A Consensus No Longer
The American Society of Plastic Surgeons becomes the first major US medical association to challenge the consensus of medical groups over “gender-affirming care” for minors.
https://www.city-journal.org/article/a-consensus-no-longer

But the U.S. consensus now appears to have its first big fracture. In July, the American Society of Plastic Surgeons, a major medical association representing 11,000 members and over 90 percent of the field in the U.S. and Canada, told me that it “has not endorsed any organization’s practice recommendations for the treatment of adolescents with gender dysphoria.” ASPS acknowledged that there is “considerable uncertainty as to the long-term efficacy for the use of chest and genital surgical interventions” and that “the existing evidence base is viewed as low quality/low certainty.”

Interesting!

Archive version. https://archive.ph/f2mR6

Just seen this - it's big. I think they can see they may be the one's held responsible when the law suits start.

Due to the nature of their work, plastic surgeons are increasingly finding themselves in the hot seat of gender medicine lawsuits. Almost two dozen lawsuits by detransitioners against clinics and clinicians are currently underway, and at least seven of the defendants in these cases are ASPS members. One, Winnie Tong, performed a double mastectomy on Kayla Lovdahl in 2017, when she was only 13. Lovdahl is now suing Kaiser Permanente and Tong, who claim that they were following WPATH’s Standards of Care, Version 7—a guideline so poor in its quality that it does not meet Kaiser’s own explicitly stated criteria for what makes a clinical guideline trustworthy.

Nazarian, the Beverly Hills surgeon, told me that surgeons in her professional network who perform gender surgeries typically defer to mental-health professionals and endocrinologists to determine for them whether minors should receive procedures like double mastectomy. That approach, she believes, is misguided, and reduces surgeons to mechanics.

“We are not highly trained technicians,” Nazarian told me. “We are physicians with responsibility for the health and well-being of our patients. We can get input from other clinicians, but ultimately the responsibility for determining medical readiness lies with us. That means that we have to examine all the data and studies available to us. Furthermore, you can’t help people by ignoring the reasons they want to go under the knife. With every patient, I exercise discretion as a professional and determine whether the procedure they are seeking is in their ultimate best interest.” The idea that surgeons should defer heavily to the prior assessments of clinicians struck Nazarian as wrong. “You can’t outsource your professional judgement to other clinicians. It’s your responsibility as the last in a chain of treatment to ensure you are doing what is best for the patient now and in the long term.”

Oh dear. There will be wailing and gnashing of teeth, I dare say.

We've always said on here that it will only be when medics are hit in their wallets that they'll suddenly remember their ethical principles. Outsourcing these to trans extremism has been catastrophic for children and young people.

That is a shattering article. Crammed with so many killer facts, each of which you would think had the power to pull down this insane edifice of "gender affirming" surgery on minors. But still, and increasingly, it seems like NOTHING can exercise sway against the existing consensus. Each piece of evidenced reasoning is rebranded as a source of '“harm” to colleagues with “very different points of view based on their varied life experiences”', as the article describes one organisation's censorship of the Cass Review.

The situation is surreal in its extremity. Even the perpetrators of the Salem witch trials would look at it and say "Really? Really? You don't think you ought to think again?"

12 year ld girls having double mastectomies.
how does any surgeon justify that

there is no justification ever for this

Always, information about the mutilation of children, makes me feel sick. I have never been able to look at surgical intervention as a positive. I recognise that gender dysphoria is a serious problem for a small number of children but young girls and their reaction to puberty is no reason to take off healthy tissue, not ever!

Sense prevails when profits get hit

Very big news

It's interesting that they jumped first and that article is very enlightening. They don't have much to do with diagnosis yet they are definitely going to get the most heat when the shit fully hits the fan. They are the 'butchers' .

Bit by bit by bit. It all unravels.

From the article:

Kayla Lovdahl, the young woman currently suing Kaiser Permanente, was approved for surgery after an “affirming” psychologist conducted a single 75-minute evaluation and determined that she was “transgender,” according to her legal complaint. Five weeks later, Lovdahl, still only 12, met with the plastic surgeon, Winnie Tong, who concluded after a 30-minute evaluation that she fulfilled criteria for a double mastectomy. The procedure was performed four months later, just after Lovdahl turned 13.

This is horrifying.

I’ve been worried about the implications of this for the NHS for a very long time. And not just the surgical liability.

Yes it is. Appalling.

It is the result of a small number of ideologically driven doctor-association members in LGBT-focused committees, who exploit their colleagues' trust.

Oof, never a truer word spoken.

And the detransitioner cases will hopefully get oodles of public support if they need funding and hopefully after a couple of wins, the tide will really start to turn.

Either way, statements like this are a sure sign that the gargantuan ship is slowing rapidly and after WPATH leaks, looking like it is suffering mounting mechanical faults that may never be repairable.

Weren’t we assured that mastectomies on 13 year old girls were made up cases and vile scare mongering?

That, plus the thought of $$$. In a fight between money and ethics, money normally wins.

True, but this is why the reality side is starting to win too.

The TAs are going to cost people a LOT of money because of their lies. The court cases are in progress and are going to hit 2025/6/7.

They don't happen in the UK. I remain horrified that anyone can look at a distressed 18-yr-old girl and decide that breast removal is a first line of treatment. And that does happen.

“You can’t outsource your professional judgement to other clinicians. It’s your responsibility as the last in a chain of treatment to ensure you are doing what is best for the patient now and in the long term.”

It is this. At all levels. If you are a professional, then you are accountable for the actions that you take.

You cannot blame other people - or you are not actually a professional.

They don't happen in the UK.

Not on 13 year olds, no. But they have been performed on under 18s, according to a Times article.

source

Absolutely and utterly.

I think this is why so many people are so resistant to thinking about it, tbh.

How does it feel to consider that children, young girls, have had their bodies mutilated, in the service of a mad cult? And that governments have celebrated it?

It's not nice. Cognitive dissonance is very unpleasant.

Anyone who has been duped into waving the Progress Pride flag, or using drag queens as entertainment for children, or celebrating 'identity' probably feels complicit to some extent in this butchery, and may well dig in even harder to avoid recognising the problem.

Likewise. I've been predicting a lot of legal cases for years. It could easily cost the NHS (and this taxpayers) millions.

Interesting to see medics breaking ranks.

I watched a Billboard Chris clip on X where he was talking to a TRA (in the US) who was insistent that no mastectomies were being performed on minors. When Chris brought up Chloe Cole who has a double mastectomy at 15 the TRA was absolutely adamant that this had only happened because Chloe had breast cancer.

Cognitive dissonance takes people to weird places.