First Major Medical Group Opposes Sex Mutilating Surgeries for Minors
The American Society of Plastic Surgeons (ASPS) issued a position statement on Tuesday advising against sex change surgeries for minors.
The position statement went to the group’s 11,000 members, recommending that surgeons delay transgender-related chest, genital, and facial surgeries until a patient is at least 19 years old. The ASPS is the first major medical organization in the U.S. to reject transgender activists’ ideological push to mutilate young people without sufficient evidence. . .
BREAKING: American Society of Plastic Surgeons issues new position statement opposing "gender-affirming" surgeries in adolescents under the age of 19.
ASPS also acknowledges risks of endocrine interventions, poor guidelines, and inappropriate use of "autonomy" principle. pic.twitter.com/eliBc6WhKo
— Leor Sapir (@LeorSapir) February 3, 2026
ASPS pointed to a rollback on sex changes for minors in Europe, as well as a comprehensive review from the Department of Health and Human Services, the 2024 Cass Review in Britain, and other research indicating “limitations in study quality, consistency … alongside emerging evidence of treatment complications and potential harms”:
Available evidence suggests that a substantial proportion of children with prepubertal onset gender dysphoria experience resolution or significant reduction of distress by the time they reach adulthood, absent medical or surgical intervention. Evidence regarding adolescent-onset presentation, which has become increasingly common since the mid-2010s, is more limited but similarly does not allow for confident prediction of long-term trajectories. Importantly, clinicians, even those with extensive experience, currently lack reliable methods to distinguish those whose distress will persist from those whose distress will remit.
The HHS report underscores that this uncertainty has significant ethical implications: when the likelihood of spontaneous resolution is unknown and when irreversible interventions carry known and plausible risks, adhering to the principles of beneficence and non-malficence (i.e. promoting health and well-being while avoiding harm) requires a precautionary approach.
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