Ann Rostow: Gray Areas - San Francisco Bay Times
Briefly

Ann Rostow: Gray Areas - San Francisco Bay Times
"On February 4, the American Society of Plastic Surgeons issued a position paper, recommending that transgender minors delay surgical procedures until adulthood. One day later, the American Medical Association followed suit. "In the absence of clear evidence," they said in a statement, "the A.M.A. agrees with A.S.P.S. that surgical interventions in minors should be generally deferred to adulthood." Hmmm. On the one hand, we all sort of agree with this. Hormones and puberty blockers are reversible."
"Surgery for transgender youth is primarily breast removal for transgender boys. Of the 3,600 gender surgeries performed on kids aged 12-18 in the five years between 2016 and 2020, some 3,215 were chest operations. It makes sense. Breasts appear well before the age of 19, and, although you might strap down small ones, a transgender boy with 36Ds faces years of pure hell."
The American Society of Plastic Surgeons and the American Medical Association recommended deferring surgical interventions for transgender minors until adulthood. Hormonal treatments and puberty blockers are reversible, whereas surgical procedures are not. Most adolescent gender surgeries are chest operations: 3,215 of 3,600 procedures for ages 12–18 between 2016 and 2020 involved chest surgery. Early breast development can cause severe distress for transgender boys, making chest removal urgent for some. Differentiating persistent transgender identity from exploratory or transient behavior in young adolescents creates significant clinical and ethical challenges for caregivers and clinicians.
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