There goes the much-vaunted "medical consensus"

[HildegardP]

Good piece from Leor Sapir on a new statement from the ASPS re "gender affirming surgeries" for adolescents. The full statement is linked in the article.

"In a major development, the American Society of Plastic Surgeons, a medical association representing some 11,000 members and over 90 percent of the field in the U.S. and Canada, has come out unequivocally against “gender-affirming” surgeries in adolescents under age 19. “Systematic reviews and evidence reassessments,” the ASPS states, “have . . . identified limitations in study quality, consistency, and follow-up alongside emerging evidence of treatment complications and potential harms.”

I particularly enjoyed the part of the statement explaining patient autonomy, I do hope Gordon Guyatt finds it a useful refresher.

www.city-journal.org/article/american-society-plastic-surgeons-gender-affirming-care-minors

I really liked the statement and guidelines. All looks very thoughtful and carefully written. A couple of things stand out: it mentions Cass, and the HHS review.
The latter had a different scope compared to Cass, and it expanded more on ethics in a very clear manner (much better than Cass!). The HHS review has been thoroughly ignored in the US so far, but now US physicians have two different guidelines: the so called SOC from WPATH, and the HHS ones. How will physicians be judged in future cases of medical malpractice, now that the HHS has been accepted by a medical association?

The second thing is the AMA: it won't be able to hold two contradictory positions at the same time. The AMA is the only authority that decides on reimbursement codes...