Major Association of US Doctors Makes Official Statement on Transgender Procedures for Minors

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The Association of American Physicians and Surgeons (AAPS) is warning about โ€œunknown and unknowable long-term risksโ€ it says are inherent to โ€œgender-affirming careโ€ in minors, adding that the consequences of gender transition surgery are irreversible.

โ€œGender-affirmingโ€ procedures include so-called puberty blockers, sex hormones, and surgery, such as castration, penectomy, and mastectomy, the nonpartisan professional association noted in its Feb. 20 official statement outlining its stance on โ€œgender-affirming careโ€ for children.

The AAPS warns that gender transition procedures are โ€œgenerally irreversible and have a high probability of causing sterilization.โ€ The procedures also โ€œcommit a patient to a lifelong need for medical, surgical, and psychological care.โ€

Such procedures in minors also are medically and ethically contraindicated due to a lack of informed consent, the AAPS stated.

โ€œPhysicians and medical professionals should refuse to be mandated or coerced to participate in procedures to which they have ethical or scientific objections or which they believe would harm a patient.โ€

Founded in 1943, the organization represents doctors in all specialties nationwide and seeks to preserve the practice of private medicine. Over the years, the group has been a strong proponent of patient autonomy and freedom of discourse in medicine.

Biological Sex Canโ€™t Be Changed: AAPS

The association maintains that while medical, surgical, and other methods can be used to alter the physical appearance of a personโ€™s body, they canโ€™t change a personโ€™s biological sex.

Biological sex is determined at conception by genotype, and with the exception of rare circumstances that could result in ambiguous genitalia, biological sex is โ€œindeed obviousโ€ and is correctly identified at birth, the AAPS states.

Biological sex, or genotype, then determines the role of a person in reproduction.

โ€œReproduction requires a male gamete (sperm), which can only be produced by a person of XY genotype, and a female gamete (egg), which can only be produced by a person of XX genotype,โ€ the group states. โ€œPrimordial germ cells are present at birth.โ€

Byย Mimi Nguyen Ly

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