Several doctors said they had performed surgery on minors. And they are not doing it correctly, in my opinion. Especially when as Surgeon 14 goes on to say a new crop of poorly trained entrepreneurial surgeons is keen to profit on the trans trend: Just how careful are they not to make a mistake? Should minors be operated on? Who are these 11 surgeons? I have seen some … children go through phases of in and out, of thinking transgender. Christine McGinn, estimated that she had done more than 30 operations on children under 18, about half of them vaginoplasties for biological boys becoming girls, and the other half double mastectomies for girls becoming boys.
Professionals across disciplines treating female-affirmed adolescents can utilize the proposed ethical guidelines to facilitate decision making on a case-by-case basis to protect both patients and practitioners. Despite the legal impossibility to obtain informed consent from the underage patient, the vast majority of participants were not concerned with malpractice lawsuits from parents or even from the patients as adults in the future. I have seen horrific unethical practices by surgeons who lie about their experience and horrific results surgically as a result of that. And they are trying to figure out if they are doing it because it is a new norm, versus what they really want. Of the 20 anonymous surgeons surveyed in the Milrod-Karasic article, 11 admitted to operating on boys under the age of Spack recalled being at a meeting in Europe about 15 years ago, when he learned that the Dutch were using puberty blockers in transgender early adolescents. Gary Alter is not the only one who has performed vaginoplasty on underage males. Instead of grappling with these vexing issues, our media, academia, entertainment industry, and politicians remain in thrall to a medical fad which has resulted in a child celebrity whose most private struggles have been leveraged into a marketing bonanza. Not even one has ever published on the issue: Karasic and Milrod note that a third of the surveyed surgeons believe the current WPATH recommendation for no surgeries under 18 should stand only a third? Many trans patients do not want GCS—it could be that at 15 they do, and at 25 they do not. And they are not doing it correctly, in my opinion. Indeed, several Dutch studies can be found in the literature that discuss advantages of intestinal vaginoplasty for patients who have been on puberty blockers for many years. The expander thus enabled the patient to avoid taking skin harvested from the flanks with the resulting unsightly scars. We are using transgender people as guinea pigs and the medical profession allows this to happen. I need to make sure that the patients have realistic expectations, that they are not. She had been a dashing male doctor in the Navy, before becoming a beautiful female doctor in civilian life. In addition, a few participants urged caution, suggesting that some adolescents engage in gender exploration as part of a developmental phase and as part of the current zeitgeist: And that is completely unethical! Gary Alter, who in performed vaginoplasty on a year-old. Christine McGinn, estimated that she had done more than 30 operations on children under 18, about half of them vaginoplasties for biological boys becoming girls, and the other half double mastectomies for girls becoming boys. Surgeons operate; psychologists assess maturity and readiness. Just how careful are they not to make a mistake? One of them, cited by Milrod and Karasic in a footnote, is Dr. Christine McGinn a late transitioning, former military MD: Surgery is a very big deal as it can be dangerous and very painful.
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