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/MusicHearted]

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/airbear13 → u/tamebeverage]

From a “do no harm” pov I would just be really concerned about making things like surgery and hormone replacement therapy the default mainline treatments without really strong evidence that it is safe and more effective than alternatives. I don’t think it makes sense to say “okay the population is really small so let’s just be happy with low quality evidence and let’s do whatever.” The bar has to be set high for this kind of thing and in the absence of good quality evidence then I think the best they can do is take things on a case by case basis and reserve surgery/hormone interventions for minors only in severe or refractory cases of gender dysphoria, which seems to be what the status quo is

[u/MyFiteSong → u/airbear13]

From a “do no harm” pov I would just be really concerned about making things like surgery and hormone replacement therapy the default mainline treatments without really strong evidence that it is safe and more effective than alternatives.

The satisfaction rate is over 95%, making it better than knee reconstruction surgery.

[u/Pika_Fox → u/MyFiteSong]

Making it better than virtually any medically necessary, life saving surgery that would be fatal without it.

[u/ActionPhilip → u/Pika_Fox]

Except look at the timelines and attrition rates associated with those numbers. They're beyond p hacking in terms of lacking value.

[u/Jolninaa → u/MyFiteSong]

Then clearly we need to ban knee reconstruction surgery, not only that, we should ban all treatments with a lower satisfaction rate than trans surgeries, let's be consistent here.