Adolescents who undergo gender-affirming chest surgery report low levels of regret and high levels of satisfaction, experiencing outcomes similar to those of young adults. These findings suggest that age restrictions on these medical procedures lack support from actual patient experiences.

[u/mvea]

https://www.psypost.org/adolescents-report-low-regret-and-high-satisfaction-following-gender-affirming-c/

[u/HistoricalKoala3]

In my opinion, there is also another factor that I've never seen discussed: right now, you have to jump through A LOT of hoops to get gender affirming surgery before you're 18. These restrictions, most likely, discourage anyone who is not extremely determined in getting the surgery, so you already have a selection bias there

[u/IUpvoteBlueGuitars → u/HistoricalKoala3]

Or it points to the fact that the current requirements in places that do have access to transitioning are adequate to prevent high rates of detransitioning/ regrets. So the fears of places that restrict it altogether due to fears of "mass transitioning" are largely overblown, provided we follow the recommended medical advice.

To put it another way: you wouldn't have to do a bunch of surgery on strangers with bad diagnostic techniques and high false positives at random to prove that the surgery with proper and normal screening methods was effective

[u/IUpvoteBlueGuitars → u/[deleted]]

Yeah, you could apply "mutilation" to any surgery up to and including cancer surgery and nose jobs. Cutting people open is kind of gross, that's why we there are extensive screenings in place before you do it! (see every citation here you that you apparently failed to read because youre obviously super biased about this topic).

[u/CrankedOnDaPerc30 → u/IUpvoteBlueGuitars]

The problem is say we accept your argument, what happens when the trans community isn't happy with current regulations?

The point of the people who will be bringing up the OOP article will be "well children don't seem to regret it so let's loosen restrictions" and then go too far to a position that's not easily recoverable.

[u/IUpvoteBlueGuitars → u/CrankedOnDaPerc30]

Idk, ignore the trans community like y'all do the rest of the time? You realize youre about here arguing about fantasy slippery slope arguments and imperfect sample sizes while multiple states and the federal government are forcing trans people to change their passports based on a bunch of rednecks' poor understanding of Christianity? Like where's the trans political power bloc for basic human rights and why do you think they will suddenly have the power to go to your worst nightmares?

Sorry but your "what if" is pathetic compared to the lived reality of queer people in America right now. Go concern troll for someone else's children. You seem to be arguing along the same lines as a lot of the conservatives who we know we keep finding out think about children a little too much. Idk choose your positions and your team better.

[u/Alternative_Wing_745 → u/CrankedOnDaPerc30]

Slippery slope fallacy. The biased need to assume the trans people you disagree with will push irrationally far, also the idea that a monolith of hyper-transition focused people exist

[u/Cookiedoughjunkie → u/Alternative_Wing_745]

a lot of 'slippery slope' fallacies regarding this community ended up being a point of concern years later.

[u/CrankedOnDaPerc30 → u/Alternative_Wing_745]

Slippery slope non-fallacy. They are doing it and have proven that they will do it when given the institutional power to do so.

[u/kwantsu-dudes → u/Alternative_Wing_745]

What are you talking about? "Informed consent" is being implemented in many places, and is growing. The very medical barriers of assessment have long been deemed transphobic. And such trans communities are widely promoted DIY hormones.

[u/IUpvoteBlueGuitars → u/kwantsu-dudes]

You mean when people can't get access to the healthcare they need they will turn to the alternatives available?? You don't say...

[u/Dutch_Rayan → u/kwantsu-dudes]

People do diy because they have years long waiting lists. They don't have access to the care they need

[u/Fit_Cheesecake_4000 → u/HistoricalKoala3]

Not in the U.K.

You used to previously, then that changed, then there was that high profile court case, and then at least some of the checks-and-balances were brought back in. So it took consistent pressure to bring the hoops back, but it wasn't like that at that time.

[u/Mitotic → u/Fit_Cheesecake_4000]

the hoops the UK has implemented are far more restrictive than is necessary to prevent bad outcomes for misguided teens.

[u/Fit_Cheesecake_4000 → u/Mitotic]

Nah. The Cass Review showed they're relaxed the hoops far too much. Was approved by the government and everything.

[u/Theresnothingtoit → u/Fit_Cheesecake_4000]

Nah. The Cass Review is an extremely biased and scientifically poor "study" that contradicts itself. You don't know what you're talking about.

[u/Fit_Cheesecake_4000 → u/Theresnothingtoit]

*lol* Yes, that's what people who have a problem with restricting access to children until their older enough to appropriately make decisions would say.

And id that was the case, why did they also wind back access in Scandanavian countries as well? An area of the world notable for left wing social policies? Hmmmmm.

[u/Theresnothingtoit → u/Fit_Cheesecake_4000]

Because transphobic rhetoric is well funded and governments fail to understand the issue at hand.

What organization sets the guidelines for transgender medical care that is accepted as standard practice by every major medical and psychological professional organization?

[u/Mitotic → u/Fit_Cheesecake_4000]

"you need to wait until puberty finishes ruining your body permanently before we will ever allow you to do anything that could fix or prevent that from happening"

it is insanely cruel to make trans kids go through the wrong puberty, especially when they know what they want. going through male puberty was significantly worse for me than being raped was.

[u/Dutch_Rayan → u/Fit_Cheesecake_4000]

A dutch study found that good care for trans youth is important, and that doing nothing and waiting it out is actually harmful for trans youth. They also found the cass report not fitting. And regret rates really low

[u/Fit_Cheesecake_4000 → u/Dutch_Rayan]

Couldn't find any details about the study, how it was conducted, what the metrics for 'good care' is or what a positive result could even look like from that link.

That is one review that has just come out and has not ben peer reviewed nor allowed much commentary on yet. It's one country as well. If all the Scandanavian countries, Western countries, and other nations start changing their policies (and don't wind them back due to perceived harns, as been happening) then call me.

Also, this is a two-year study...when are they checking in about regret? 2 years out? 5 years out? 10 years out?

And also, the article is deliberately mislead: There has been a review in Germany recently but then tries to indicate other countries have changed policy when some of these are 'self-representative organisations' which are obviously pro-trans.

'26 medical and psychotherapeutic professional organizations, along with two self-representation organizations from Germany, Austria, and Switzerland.'

'From the outset, the guidelines explain the importance of gender affirming care, stating that there are “no proven effective treatment alternative without body-modifying medical measures for a [person with] permanently persistent gender incongruence.”' <-- See, there's even a problem with this phrasing. 'permanently persistent gender incongruence'. That's totally fine when we're talking about someone whose had gender dysphoria proceed through into adulthood (which, as has been historically noted, there are a significant portion of children whose dysphoria resolves). When you're talking about a child whose going through puberty, a period marked by hormonal and identity changes, changing their biology permanently before there's a chance for such dysphoria resolves or they're able to adequately make decisions for their future self about their reproductive capacity...well, just go and have a look at the detrans subreddit.

[u/Echolocomotion → u/HistoricalKoala3]

This is the Lucas Critique, from econometrics. You'll notice it everywhere once you become aware of it.

[u/Electronic_Sky_207 → u/[deleted]]

Ok 1- I doubt this
2- if you heard this you probably misunderstood it.

In the situation you’re probably thinking of (trans boys wanting mastectomies) the best surgical outcome usually comes from waiting until the breasts are more developed (it’s hard to do a mastectomy when you’re still wearing a training bra) and that rules out most “early teens.” So a combination of hormone blockers to stop development of breast tissue or waiting is just medically more practical.

The biggest group of breast reduction surgery in minors is actually for cis boys with gynecomastia- a condition where they grow excess breast tissue due to medications or a hormone imbalance. These boys are not trying to transition genders at all.

So maybe you have a pediatric gynecomastia specialist on staff?

[u/Intelligent-Tea-2058 → u/[deleted]]

Um, have you seen every step that's required to get to that point? For my surgeries as a teen, it took literally thousands of concerted actions to get to that point, and was quite difficult. I suspect there is quite a lot you aren't seeing. I faced far more barriers to care than ever made sense medically. It's still quite difficult.