Advocates of gender-affirming care say it’s evidence-based.
But now, newly released internal files from the World Professional Association for Transgender Health (WPATH) prove that the practice of transgender medicine is neither scientific nor medical.
American Medical Association, The Endocrine Society, the American Academy of Pediatrics, and thousands of doctors worldwide rely on WPATH. It is considered the leading global authority on gender medicine.
And yet WPATH’s internal files, which include written discussions and a video, reveal that its members know they are creating victims and not getting “informed consent.”
Victims include a 10-year-old girl, a 13-year-old developmentally delayed adolescent, and individuals suffering from schizophrenia and other serious mental illnesses.
The injuries described in the WPATH Files include sterilization, loss of sexual function, liver tumors, and death.
WPATH members indicate repeatedly that they know that many children and their parents don’t understand the effects that puberty blockers, hormones, and surgeries will have on their bodies. And yet, they continue to perform and advocate for gender medicine.
The WPATH Files prove that gender medicine is comprised of unregulated and pseudoscientific experiments on children, adolescents, and vulnerable adults. It will go down as one of the worst medical scandals in history.
Why I Am Publishing WPATH Files And How I Got Them
The written WPATH Files come from WPATH’s member discussion forum, which runs on software provided by DocMatter.
Ninety seconds of the 82-minute video was made public last year. We are making the full video available for the first time.
One or more people gave me the WPATH Files, and my colleagues and I attempted to summarize them as a series of articles. We quickly realized the topic was too sensitive, complex, and large to be dealt with as a work of journalism, and we moved the project to the research institute I founded seven years ago, Environmental Progress (EP).
The Files are authentic. We redacted most names and left only those individuals who are leading gender medicine practitioners to whom we sent “right-of-reply” emails. We know WPATH members discussed our emails internally. No WPATH leader or member has denied that the Files are anything other than what they appear to be.
EP is publishing a 70-page report to provide context for the 170 pages of WPATH Files. Mia Hughes is the author of the report. It and accompanying summary materials can be downloaded at the link below. That link also provides a link to the full WPATH video.
What follows are simply a few highlights. People with a serious interest in the topic should read the report and all the files:
“We're explaining things to people who haven't even had biology in high school…”
“I think the thing you have to remember about kids is that we're often explaining these sorts of things to people who haven't even had biology in high school yet,” says Dan Metzger, an endocrinologist.
“The 14-year-olds, you just... It's like talking [about] diabetic complications with a 14-year-old. They don't care. They're not going to die. They're going to live forever, right? So I think when we're doing informed consent, that's still a big lacuna.”
“14 year old trans female who started transition since she was 4… wants to have Gender Affirming Surgery”
“I’ve recently received questions from an [‘Assigned Female At Birth’] pre-menarche 10 y/o patient about whether blockers will ‘stunt’ his growth…”
“It is very difficult to ask that they wait until age 16...”
A “16 y/o patient…found to have two liver masses… the likely offending agents were the hormones…”
The problem is that drugs can cause tumors, even, apparently, in people as young as 16 years old.
“To what degree… providers discuss actual rates of surgical complications… (e.g., pain…additional surgeries, necrotic tissue, infection, hematomas…”
Many young patients experiencing gender distress do not appear to understand that they may suffer serious consequences from long-term hormone use and genital surgery.
“I feel the best time for surgery in the U.S. is the summer before their last year of high school.”
Despite the widespread and growing expression of concern within the WPATH Files over the negative side effects of gender medicine, WPATH members urge that irreversible surgeries take place when adolescents are just 16 or 17 years old.
“Most of the kids are nowhere in any kind of brain space to really talk about it seriously.”
One WPATH member says, “It's out of their developmental range sometimes to understand the extent to which some of these medical interventions are impacting them.”
“We try to talk about it, but most of the kids are nowhere in any kind of a brain space to really, really, really talk about it seriously.”
Many Parents Don’t Understand What Will Happen To Their Children
“I try to kind of do whatever I can to help them understand best they, best I can,” says a therapist. “But what really disturbs me is when the parents can't tell me what they need to know about a medical intervention that apparently they signed off for."
“In a developmentally delayed 13yo… what is the ethical approach?”
The situation of obtaining informed consent is complicated further when the adolescents are also developmentally delayed and, in the case below, “may not reach the emotional and cognitive developmental bar set” by WPATH’s already very low standards of care.
“Oh, the dog isn’t doing it for you?”
Many gender medicine victims are filled with regret that they were sterilized. Nobody knows this more than the doctors who mistreated them. At times, their response to such regret appears callous.
“I follow a lot of kids into their mid twenties, I'm always like, ‘Oh, the dog isn't doing it for you, right?’ They're like, ‘No, I just found this wonderful partner and now we want kids. So you know, it doesn't surprise me.”
“I’m unaware of an individual claiming ability to orgasm when they were blocked at Tanner 2.”
Many gender medicine patients lose sexual function, including experiencing orgasm. As such, they are not only deprived of sexual pleasure, they are significantly undermining their ability to form long-lasting romantic relationships.
It’s clear from the Files that even many people within gender medicine do not understand this.
On January 14, 2022, the surgeon and President of WPATH, Marci Bowers, explained this reality in a low-key way.
Seven days later, a WPATH member asked Bowers to clarify.
“After 8-10 years of [testosterone, they] developed hepatocarcinomas… died a couple of months after.”
For some gender medicine patients, there are fates worse than both sterility and loss of sexual function.
Part II: Mental Illness
“A Patient Who Became Dangerous”
On an unknown date, a San Francisco-based surgeon named Thomas Satterwhite posted an urgent new message to WPATH’s internal message board.
“I had a patient who became dangerous/threatening to our care team post-op,” he wrote, “which ultimately ended in a restraining order.”
Satterwhite explained that “This patient had undiagnosed mood disorders that did not surface until post-op, after which, she travelled around the country to find other surgeons to provide care.”
It’s a chilling story, and one that raises many questions about the ethics and legality of gender-affirming medicine.
At the top of that list is how did Satterwhite and his colleagues miss the fact that the person they operated upon had a serious psychiatric condition?
But Satterwhite was focused on a more prosaic question: What was the best “medicolegal” way that he could warn other doctors and health care providers that his former patient was “potentially dangerous”?
There is no evidence in the WPATH Files, nor elsewhere, that the experience shook Satterwhite enough to question whether gender-affirming care is, in reality, committed to the maxim, “First, do no harm.”
Our Awful History Of Mistreating Mental Illness
Nations have struggled to care properly for people with mental illness and psychiatric disorders for centuries.
After every past scandal, we pledge to do better next time, relying more on science than ideology.
Readers of the WPATH Files may walk away with the sense that we have learned nothing.
Repeatedly throughout the WPATH Files, we see gender medicine practitioners waive away evidence that mental illnesses and psychiatric disorders have been misdiagnosed as gender dysphoria.
The WPATH Files are a picture of people single-mindedly committed to the hammer of gender medicine and thus seeing every patient who comes to them as a nail.
“Disordered eating,” “purposeful malnutrition,” and a “high prevalence of eating disorders”
A therapist raises concerns in a message about the age of a patient.
“I have an incoming 13yo (soon to be 14 yo)... I was under the impression that is more the exception to start for kids under 16, not the norm…”
But the person has another piece of troubling information.
“A possible complication,” the therapist warns, is that it “sounds like there is some purposeful malnutrition and restrictive eating for ‘a more non-binary appearance.’”
The chief medical officer of a health center in Texas chimed in that the therapist had best hurry the 13-year-old teenager along the gender-affirming path because “waiting appears to increase the rate of suicide,” which is one of several pseudoscientific myths repeated within the WPATH Files.
“Something is off… I am wondering if they might have schizoaffective disorder or schizophrenia”
“...I was surprised to find that several of my clients met criteria for dissociative disorders...”
“Someone can have schizophrenia and be ready for surgery…”
“...I have noted a high incidence of dissociative disorders...”
“I have operated on three DID [Dissociative Identity Disorder] patients... All three did okay out to the six month mark....”
“In the last 15 years, I had to regrettably decline writing only one letter, mainly b/c the person evaluated was in active psychosis and hallucinated during the assessment session...”
“They had alters who were both male and female gender and it was imperative to get all alters who would be effected by [Hormone Replacement Therapy] to be aware and consent to the changes."
Part III: Ethics
“I’m not aware of any other medical procedure that requires the approval of a therapist.”
Frequently, WPATH members push back against “gatekeeping,” including the requirement for sound mental health before undergoing a lifelong regime of drugs and surgery.
“If an individual patient feels that they made a mistake… be careful with that not letting that change the way others receive care.”
At times, WPATH members speak of the growing number of “detransitioners” who regret gender medicine.
Some gender medicine practitioners express less concern for the detransitioners than for the threat they may pose to gender medicine.
“Patients need to own and take active responsibility for medical decisions, especially those that have potentially permanent effects."
There is evidence within the WPATH Files of WPATH members, as well as its president, Marci Bowers, blaming their victims.
“Those conversations can be ongoing even after the intervention has occurred.”
Readers of the WPATH Files may be struck, as we were, by how flexible WPATH members were in rationalizing their mistreatments.
Faced with rising amounts of regret and detransition, WPATH members describe what’s happening as a “gender journey” not a single “transition.”
And faced with their own failure to achieve informed consent, WPATH members re-frame it as a “process,” and an “on-going conversation.”
“...informed consent [is a]... process... not one conversation at one point in time ... those conversations don't have to stop once the Medicaid and intervention has been started. Those conversations can be ongoing even after the intervention has occurred.”
“What has been currently happening is, frankly, not what we need to be doing, ethically.”
As we saw above, many WPATH members waive away the evidence of medical mistreatment.
But others appear genuinely concerned by the lack of informed consent.
A therapist describes talking to parents after they meet with a medical doctor.
“I would go in, and say, ‘Okay, so tell me what you learned.’ They would be like, ‘We have no idea what they were talking about.’
“Part of it is that they feel less deferential to the kind of doctor I am than the kind of doctor the medical doctor is.
"And because they really are seeking the care, they're just going to say they know when they really aren't picking up on what's happening.
“And so I think the more we can normalize that it is okay to not get this right away, that it is okay to have questions, is, you know, the more we're going to actually do a real informed consent process than what I think has been currently happening and that I think is, frankly, not what we need to be doing ethically.”
You can tell that her comment had an impact from the long and awkward pause that followed.
L'administration Trump et l'UE conduisent d’âpres négociations commerciales. Leur principal point d’achoppement? La censure européenne des plateformes numériques. L'année dernière, Thierry Breton, alors commissaire européen au marché intérieur, avait menacé Elon Musk de sanctions après l'annonce d'une interview avec Donald Trump sur X. Nombreux sont ceux qui tablent sur “l’effet Bruxelles”, la taille importante du marché de l'UE qui lui permet d’imposer sa réglementation au monde entier, y compris aux entreprises américaines, afin de procéder à la censure du contenu publié sur les plateformes, y compris par des citoyens américains résidant aux USA et protégés par le premier amendement de leur Constitution.
Des nouvelles informations extraites des TWITTER FILES laissent penser à une alliance objective du pouvoir politique français, de gouvernements successifs, de parlementaires, d’ONG affiliées à l'État, de médias mainstream subventionnés par l’Etat et d'institutions universitaires, travaillant à inciter le plus influent des réseaux sociaux à censurer des discours pourtant licites et à influencer sa « modération de contenu » bien au delà des frontières françaises et européennes.
Les TWITTER FILES et le rapport “La France a inventé le complexe industriel de censure” révèlent les origines de cette stratégie de censure holistique, pour ne pas dire totale, dont les pièces maîtresses sont les ONG :
— Le président Macron a tenté avec insistance de contacter le PDG de Twitter de l’époque, Jack Dorsey ;
— Le timing de l’action de Macron suggère fortement une coordination avec des ONG afin d’obtenir davantage de censure et exiger la communication de données personnelles et sensibles des utilisateurs de Twitter ;
— L’enchaînement des événements indique des tentatives de contournement de la loi de la part de divers acteurs non étatiques.
L' enquête TWITTER FILES - FRANCE a été réalisée par @McmahonPascal et @battleforeurope, et éditée par @galexybrane et @shellenberger.
2. « Le président Macron veut envoyer un SMS à Jack »
Le 14 octobre 2020, la directrice des affaires publiques de Twitter pour la France et la Russie a écrit : « L'équipe du président Macron m'a demandé (encore !) le numéro de Jack parce que le président veut lui envoyer par SMS quelques mots de soutien concernant nos nouvelles politiques et fonctionnalités sur l'intégrité des élections. »
Problème : Dorsey ne communique pas ses coordonnées, même aux chefs d'État. « Je lui ai déjà indiqué qu'il pouvait lui envoyer un message privé. Je vais encore le réitérer, mais je voulais d'abord vérifier auprès de vous que Jack ne communique jamais son numéro », a poursuivi la cadre de Twitter.
Public News a demandé une réaction au président Macron. Cette demande est restée lettre morte.
3. « Macron n’envoie de SMS qu’à ses proches et à ses collègues… »
La première réponse au courriel de la directrice des affaires publiques France et Russie est venue de vice-présidente monde des affaires publiques, qui a mis en copie Vijaya Gadde,à l’époque directrice juridique de Twitter et l’un des principaux censeurs de la plateforme.
Cette cadre écrit : « Je sais que Macron n'envoie des SMS qu'à ses proches et qu'il collabore fréquemment avec ses collègues et ses homologues (comme Angela Merkel) par SMS. Pourriez-vous demander à Jack s'il accepterait un SMS de Macron ? Nous demanderons à son équipe de ne communiquer le numéro de Jack qu'à Macron. Merci. »
Le bureau de Dorsey a répondu : « Je vais contacter Jack. Y a-t-il une alternative ? Pour info : Jack n'a pas de numéro de téléphone (je le jure) et seule son équipe rapprochée sait où le joindre. »
« J'ai insisté pour un message privé, mais apparemment, Macron n'utilise pas Twitter lui-même et souhaite écrire un message personnel. Peut-être sur Telegram ou Signal? »
Suit un examen de divers canaux de communication possibles: courrier électronique, Signal, Telegram et iMessage.
Pourquoi donc Macron était-il si empressé d’entrer en contact avec Dorsey ?
At this moment, the Trump administration is negotiating with the EU over final obstacles to a trade deal, one of which is European censorship of US social media platforms.
Many analysts believe the massive size of the EU will lead US social media firms to impose European censorship, including on Americans. Last year, the EU’s then-top digital censor, Thierry Breton, threatened action against Elon Musk after he announced a conversation on X with Donald Trump.
Now, new TWITTER FILES show a coordinated effort by France’s President Emmanuel Macron, legislators, and state-affiliated NGOs working together to force the world’s most influential social media platform to censor users for legal speech and influence Twitter’s worldwide “content moderation” for narrative control.
What’s more, TWITTER FILES - FRANCE reveals the birth of the censorship-by-NGO proxy strategy at the heart of the Censorship Industrial Complex:
— President Macron personally reached out to then-CEO of Twitter, Jack Dorsey;
— The timing of Macron’s action strongly suggests coordination with NGOs on a pressure campaign to win more censorship and demand sensitive user data from Twitter;
— The pattern of events indicates potentially illegal activity by various actors.
The TWITTER FILES FRANCE investigation was led by @McmahonPascal and @battleforeurope, and edited by @galexybrane and @shellenberger.
We are releasing the Files here on X and simultaneously publishing a comprehensive report by Clerótte and Fazi on France’s invention of the Censorship Industrial Complex.
2. “President Macron wants to text Jack”
On October 14, 2020, Twitter’s Public Policy Director for France and Russia wrote, “President Macron's team has been asking me (again!) Jack's number because the President wants to text him some supporting words re our new policies and functionalities on Election integrity.”
There was one issue, though – Dorsey did not give out his contact information, even to heads of state. “I have already advised that he could send him a DM. I'll push back again, but wanted to double check with you first that indeed Jack never shares his number,” the policy director wrote.
Public requested a response from President Macron and did not hear back.
3. “Macron only sends texts to people he is close to and works frequently with…”
The first reply came from Twitter's Global Vice President of Public Affairs, who copied Vijaya Gadde, one of the platform's chief censors.
This Global Vice President of Public Affairs noted, “I know that Macron only sends texts to people he is close to and works frequently with colleagues and senior govt. leaders (like Angela Merkel) over text. [redacted] - could you pls. ask Jack if he would be willing to accept a text from Macron, and we will ask Macron's team only to share Jack's number with Macron? Thanks.”
Dorsey’s office replied, “Will circle w Jack. Is there an alternative? FYI: Jack doesn’t have a phone number (I swear) and only immediate team has his contact info to get a hold of him.”
“I am really pushing for DM but apparently Macron doesn’t use Twitter by himself and wants to do a personal note. Maybe a telegram or signal.”
This was followed by a review of various potential communication channels, including email, Signal, Telegram, and iMessage.
But why was Macron so desperate to get in contact with Dorsey?
Conservative populists lead the polls in Europe and so governments are censoring, banning, and prosecuting them. Chancellor @_FriedrichMerz & President @EmmanuelMacron are violating NATO’s charter. Americans should ask why we’re spending billions to defend such totalitarianism.
Industrial wind energy doesn't kill whales, insisted the media. But a new report by a top government scientist reveals that the Biden admin. broke the law in approving Empire Wind, while Revolution Wind is in a crucial "magical space for marine animals" at risk of extinction.
For years, the Biden Administration insisted that offshore wind energy projects complied with the National Environmental Policy Act (NEPA), the 1970 law that requires government agencies to use the best available science to evaluate the ecological impacts of major projects before the government can approve them.
But now, a scientific report, which reflects the official position of the National Oceanic and Atmospheric Administration (NOAA), reveals that the approval of the Empire Wind project off New York and New Jersey violated this law.
The scientist who authored the report works for the U.S. government’s National Marine Fisheries Service (NMFS), which is also known as NOAA Fisheries. It is part of the Department of Commerce, and which serves in an advisory capacity to the Department of the Interior on marine issues, including offshore wind development. The person spoke exclusively to Public.
In response to "fact checkers," Facebook last year banned @EpochTimes for saying arctic sea ice wasn't declining. But @EpochTimes was right. Even @guardian now admits it. Mark Zuckerberg @finkd — you owe an apology to everyone you censored.
Most self-appointed fact-checkers are liars. They spread disinformation and then demanded censorship on the basis of it. They did this with everything from the Hunter Biden Laptop to transgenderism to the Great Barrier Reef. They should be shut down.
They lied about the growing coral on the Great Barrier Reef and got Facebook to censor Australia's top scientist on the issue.
O governo tirânico Lula-Moraes violou tantas leis que é difícil acompanhar. A deputada @damaresalves compilou uma lista de 15 leis que os tiranos violaram (abaixo). O Brasil é governado por criminosos.