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A duo of developments this week confirmed what we’ve suspected: the transgender revolution is dying on the operating table. Two days ago, the Washington Post ran a story headlined, “First major medical group opposes gender transition surgeries for youth.” Medical group meaning the American Society for Plastic Surgeons (ASPS). Before I could blog about it, another one landed. Yesterday, the New York Times reported, “Doctors’ Group Endorses Restrictions on Gender-Related Surgery for Minors.” Haha, “doctors’ group!” It was the American Medical Association (AMA).
It’s historic. “For the first time,” the Times admitted, “two major medical groups have backed limitations on gender-related surgical treatments for minors in the United States.” In technical terms, no more chopadictofmies or addadictomies.
In a remarkable about-face, the American Medical Association has suddenly and unexpectedly endorsed restrictions on gender surgeries for minors, saying these procedures should “generally be deferred to adulthood.” The AMA’s announcement came one day after the American Society of Plastic Surgeons issued similar guidance recommending doctors wait until patients turn 19.
In its statement yesterday, the AMA explained, “In the absence of clear evidence” —you’ve got to be kidding me, now they tell us— “the A.M.A. agrees with A.S.P.S. that surgical interventions in minors should be generally deferred to adulthood.” This was a little sleight of hand; the ASPS had actually gone further, recommending against hormone treatments, too.
Absence of clear evidence?? Isn’t it funny how “the science” works? For years, anyone who questioned whether we should be performing mastectomies on confused teenagers was labeled a bigot and a transphobe. Red states that passed bans were hysterically accused of “denying life-saving care.” But— tada! Yesterday, the nation’s largest doctors’ organization finally admitted the evidence was never there.
The rapid pivot is even more darkly amusing than it looks. What changed? Well, one conspicuous development happened last Friday, when a New York jury awarded $2 million to Fox Varian, whose doctors pressured her into a double mastectomy at age 16, and who is now mangled and breastless. It was the first trans malpractice verdict of its kind. Within days, this week, the two biggest medical associations in the country legged it for the exits.
It is so amazing how quickly the “settled science” gets unsettled when the lawsuits start rolling in.
You know who just got hit hardest? Doctors in blue states. The change in guidance isn’t merely performative. Do you realize what this means for doctors on the ground, regardless of which state they practice in? Everything.
Professional medical guidelines aren’t just suggestions— they’re the backbone of malpractice law. When a patient sues a doctor, the central question is usually whether the doctor followed the “standard of care” established by their professional organizations. Until this week, surgeons performing mastectomies on 16-year-olds could point to permissive guidelines from groups like WPATH and say, “I was following the accepted standard.”
That shield just evaporated.
Now, any surgeon who operates on a minor’s healthy tissue is doing so against the guidance of both the nation’s largest doctors’ organization and the plastic surgeons’ own professional society. That’s not just bad optics. It’s a plaintiff’s attorney’s dream. Insurance companies will take notice, too; expect carriers to start excluding coverage for procedures performed contrary to AMA guidance, or to demand extensive documentation and liability waivers.
Hospital administrators, already nervous after watching Stanford and Kaiser shutter their youth gender programs, now have official cover to say “no.”
The dominoes are falling fast. For practitioners who quietly harbored doubts but felt professionally pressured to comply, the AMA just handed them permission to follow their conscience. For those who keep performing these surgeries despite the mounting evidence, the legal exposure just got a lot more personal.
Blue state legislatures can pass all the shield laws they want, but can’t rewrite the AMA’s guidelines or immunize a surgeon from malpractice. Now, when a detransitioner sues their doctors, the question won’t be whether California law permitted the surgery— it will be whether the doctor met the standard of care. And as of this week, the standard of care says: wait until adulthood. Blue states built a legal sanctuary for procedures their own medical establishment now says shouldn’t happen. Their fortresses just became very expensive, outdated monuments to mental illness.
The revolution isn’t just dying on the operating table. It’s being wheeled to the morgue by its own doctors.