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The Cass Review: Still Not a Silver Bullet

The Cass Review is an investigation into the UK National Health Service treatment of adolescents diagnosed with gender dysphoria. It was released in early April and recommends a strict restriction on the prescription of puberty blockers while calling into question the idea of medicalization generally. It was conducted by renowned UK pediatrician Hillary Cass. I have been reluctant to write on it because I knew that I wouldn't read it. My impulse was to recommend taking The WPATH Files: Another Beginning of the End? , replacing every mention of WPATH Files with The Cass Review. Although every detail would be wrong, the conclusion would remain. " The sterilization of children will not end because of more and better information, although that is critical. It will only end when the concept of gender is destroyed, thoroughly and completely."  There have already been multiple systematic reviews of the evidence for treating the diagnosis of gender dysphoria with synthetic hormo

The WPATH Files: Another Beginning of the End?

The WPATH Files , published by journalist Michael Shellenberger and written by Mia Hughes are the result of leaked behind the scenes communications from The World Professional Association of Transgender Health. The leaks reveal an organization making medical recommendations based on the advocacy of non-medical activists. The WPATH Standards of Care are held up as the medical standard for "gender medicine" for "gender confused" adolescents and adults. Shellenberger sees the WPATH Files along with the announcement from the UK National Health Service of the discontinued use of puberty blockers as the end of gender affirming care. While I hope that I am just being cynical, he is clearly wrong. I say this based on experience. To paraphrase Jonathan Swift, do not assume that any medical procedure started absent evidence can easily be stopped by evidence. I had not given much thought to the idea of adolescent transition until 2019. To the degree that I had thought of it, I