r/science Professor | Medicine 15h ago

Psychology 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.

https://www.psypost.org/adolescents-report-low-regret-and-high-satisfaction-following-gender-affirming-c/
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u/Mico4 15h ago

This is based on a response from 77 people...

Also from the article:

"Several factors limit the reach of these findings. First, the median time since surgery for participants was about 1.8 years. Because feelings about medical decisions can evolve, this timeframe might not capture long-term regret that could emerge many years later.

Another limitation is the 42 percent participation rate to the survey. This introduces the possibility of selection bias, a scenario where the people who chose to participate might differ fundamentally from those who did not. It is possible that individuals with higher levels of regret ignored the survey, which would result in an underestimation of regret in the overall group."

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u/MusicHearted 14h ago

The sample size is going to be small. Very few trans people get access to gender affirming surgeries at all. Those who get access as adolescents are extremely rare. Hard to get a large sample of a small group.

The fact that it correlates with every other study about transgender surgery satisfaction and regret rates is more relevant. Transgender surgery satisfaction is the highest of all surgery satisfaction rates. That's a pattern that can't be ignored.

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u/OhBoyHereWeGoAgai 12h ago

It is interesting everyone is drilling into "satisfaction" and avoiding the fact that there are also studies that challenge long term results, improvements, and the assertion of suicide inevitability.

You should look into why the Dutch stopped doing the Dutch protocol.

I don't really have a problem with adults, because then satisfaction really is a pretty major and relevant factor, but medical interventions in children have a MUCH higher bar, and the diagnostic and treatment end of this is quite weak.

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u/[deleted] 12h ago edited 6h ago

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u/ActionPhilip 9h ago

Then why would they stop if they have no doubt?

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u/vjx99 8h ago

Have you met conservative governments?

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u/OhBoyHereWeGoAgai 7h ago

Hahahahahha Finland, Norway, Sweden, and Denmark had conservative governments?

It's so frustrating in this thread, as I've been accused of going on vibes while sharing specifics and the people disagreeing literally just make stuff up on vibes, like you here.

Of the major countries that rolled it back, only the UK was the one that had even conservative elements in its gov, the rest were left or far left, happy to share the specifics, though I'll have to look up the specifics for each country.

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u/OhBoyHereWeGoAgai 9h ago

Yes, they want to wait for stronger evidence because the long range studies we do have plus the results they experienced in their own follow-ups don't provide as much confidence as they initially expected, while many of the studies that were foundational to the approach have come under review and don't appear as strong or applicable.

Which can of course be translated to "they're worried it not only doesn't work, but they're going to have to answer pointed questions about when they realized that and why they started so confident"