The Association of American Physicians and Surgeons, a national organization of physicians in all specialties, warned that there are inherently unknown long-term risks to gender-affirming care for minors, and the consequences of removing normal, healthy organs are "generally irreversible."
On Saturday, the AAPS released a statement on "transgenderism" because, it said, "a majority of large and influential medical organizations have issued treatment guidelines for gender-affirming care, but there is strong opposition."
Also, the group recommended physicians and medical professionals 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."
The group noted "an explosive increase in persons who identify with the construct of gender different from sex, at an age where identity is easily malleable and brain development is not fully concluded."
The AAPS also highlighted a growing industry dedicated to providing gender-affirming procedures that are "generally irreversible and have a high probability of causing sterilization," including puberty blockers, sex hormones, and surgery such as castration, penectomy, and mastectomy.
"They commit a patient to a lifelong need for medical, surgical, and psychological care," the AAPS said in the statement.
The group also declared that "changing physical appearance does not change biological sex."
According to the AAPS, reproduction can only be produced by a person of an XY genotype and a person of an XX genotype, and that biological sex is "determined at conception by genotype and apart from rare anomalies."
Full statement:
Physicians 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.
Reproduction 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. Primordial germ cells are present at birth.
Biological sex is determined at conception by genotype and apart from rare anomalies, which result in ambiguous genitalia, sex is correctly identified at birth—and is indeed obvious.
The construct of gender fluidity in the current cultural discourse is controversial.
Through medical, surgical, and other interventions, it is possible to change the physical appearance of one’s body. Changing physical appearance does not change biological sex.
There has been an explosive increase in persons who identify with the construct of gender different from sex, at an age where identity is easily malleable and brain development is not fully concluded.
Conflicting motivations have led to a growing industry dedicated to providing “gender-affirming” procedures that are generally irreversible and have a high probability of causing sterilization. These include puberty “blockers,” sex hormones, and surgery, such as castration, penectomy, and mastectomy. They commit a patient to a lifelong need for medical, surgical, and psychological care.
“Gender-affirming care” in minors is medically and ethically contraindicated because of a lack of informed consent. There are inherently unknown and unknowable long-term risks, and the consequences of removing normal, healthy organs are irreversible.
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