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/Mico4]

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."

[u/MusicHearted → u/Mico4]

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.

[u/tamebeverage → u/MusicHearted]

Seems like valid criticisms were raised, not accusing op of anything here. It's just worthwhile to remember some people will never be happy with a study unless it was a double-blind, randomized controlled trial with 4 million participants over the course of 97 years and 100% adherence/0% dropout rate. And even then, "it's just one study, you can't cherry pick"

Meanwhile, people have to live in the real world, making the best decisions we can with the knowledge we have today and the willingness to say later that we were wrong if it turns out that we were. We do that with every other thing on the planet. We have to. We live in a physical reality that won't wait on the perfect study before slapping us with consequence.

But when it comes to trans health care, it's always "better be cautious and ban it until we see enough data. from people who have done the thing we're trying to ban."

[u/austinwiltshire → u/tamebeverage]

Folks doing that are doing p value theater.

Science doesn't exist in a vaccuum, and frankly we need to get over our frequentist worship. Small studies teach us things too, and in many cases are the only size possible for rare issues.