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Leor Sapir Profile picture
@LeorSapir
Mar 8 • 2 tweets • 2 min read • Read on X
WOW. The San Francisco-based gender surgery clinic Align Surgical has just scrubbed “phallus-preserving vaginoplasty,” “vagina-preserving phalloplasty,” and “nullification” from the genital surgery offerings on its website. See screenshots of before and after.

This comes after my article for @CityJournal on the @TheEndoSociety appointing Align Surgical’s Dr. John Pang to its guideline update committee, and @shellenberger and @_CryMiaRiver’s WPATH files expose in which Align Surgical’s founder, Dr. Thomas Satterwhite, features prominently.

Why has Align Surgical decided no longer to offer these “nonbinary” surgeries?

The Endocrine Society story:

The WPATH files: city-journal.org/article/stacki…
environmentalprogress.org/big-news/wpath…Image
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Satterwhite and Pang are both WPATH members. WPATH’s Standards of Care 8 include “nonbinary” surgeries like the ones Align Surgical scrubbed from its website. These procedures may also be covered by insurance in California as “medically necessary.”

So why not offer them, Align? Image

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More from @LeorSapir

Leor Sapir Profile picture
Mar 10
The Mary Bridge Children's Gender Health Clinic (@Mary_Bridge), which is part of MultiCare health system (@MultiCareHealth) in Tacoma, Washington, and site of whistleblower Tamara Pietzke, offers kids resources on binding and tucking. /1

⬇️⬇️⬇️
Tucking is the process by which boys push their testicles up into the inguinal canal, use their testicle-free scrotum to wrap their penis, and then secure their wrapped penis within their butt cheeks using methods like compression underwear or tape. /2
The Mary Bridge gender clinic says that tucking is "normal for many identities." It admits, however, that "research on the safety" of this practice, including about harmful side-effects, "is very limited and sparse," and recommends that kids do "[their] own research." /3
Image
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Read 8 tweets
Leor Sapir Profile picture
Mar 5
With the release of the WPATH Files, it's important to keep in mind that WPATH has been using mainstream medical associations like the Endocrine Society (@TheEndoSociety) to launder its pseudoscientific claims and promote experimental and harmful practices.

A thread.
At least 6 of the 10 authors of the Endocrine Society’s 2017 Clinical Practice Guideline were/are WPATH members. That guideline is still in effect today. Image
Recently, the Endocrine Society decided to convene a new group to update its guidelines. It did so in secret, but last week, I very likely forced the exposure of this initiative.

city-journal.org/article/stacki…
Read 10 tweets
Leor Sapir Profile picture
Mar 1
In a new article for @CityJournal, MI's Joe Figliolia explains the problems with the "minority stress" hypothesis in the context of "gender-affirming care" and the mounting evidence against it. /1

city-journal.org/article/gender…
The "minority stress" theory occupies a central role in the "gender-affirming" worldview and model of care. It is used to explain the extremely high rates of coexisting mental health and neurocognitive problems in trans-identified youth. /2
With no good evidence to support the hypothesis as used, it makes differential diagnosis near impossible and is arguably the factor most responsible for iatrogenic harm in the treatment of trans-identified youth with distress. /3
Read 8 tweets
Leor Sapir Profile picture
Feb 29
UCSF’s Jack Turban (@jack_turban) and Yale’s Meredithe McNamara recently criticized a new Finnish study that further weakens the “suicide prevention” narrative.

Their criticisms are wrong and hypocritical.

Here’s why. 🧵
To recall, the Finnish study found that suicide in gender clinic-referred (GR) youths <23 was uncommon (0.3%), and when the model adjusted for severe psychiatric comorbidities, there was no statistically significant difference in suicide rates between GR youth and controls. /2
The study's implication is that suicide prevention should focus on comorbid psychiatric problems that frequently occur in dysphoric youth, not on modifying the body’s sex characteristics. /3

See the study here:

SEGM’s analysis:
mentalhealth.bmj.com/content/27/1/e…
segm.org/Suicide-Gender…
Read 18 tweets
Leor Sapir Profile picture
Feb 18
1/ 🚨Some MultiCare UPDATES following Tamara Pietzke blowing the whistle in The Free Press and my follow-up report in City Journal.
2/ The Mary Bridge Children's Gender Health Clinic, which is owned and operated by MultiCare, has deleted a webpage where the clinic's social worker, Aytch Denaro (they/them), proudly reports: "Since joining Mary Bridge Children’s Gender Health Clinic in 2019, I have witnessed our referrals increase from less than five to more than 35 monthly."
3/ Here is the archived version of that now-deleted webpage:

web.archive.org/web/2023102315…
Read 9 tweets
Leor Sapir Profile picture
Feb 12
1/ UPDATE: I've received email communications between Tamara Pietzke, the new whistleblower from the state of Washington, and her coworkers and supervisors at MuiltiCare. I will be making these emails public soon, but in the meantime, here's a snippet of what's inside them. 🧵
2/ On January 2, 2024, a month before Tamara went public, she sent an email to MultiCare's "gender-affirming care" specialist (who is also part of MC's DEI team) expressing her concerns about a young teen girl whose heartbreaking story was among those revealed in the Free Press article.
3/ According to the communication, the teen girl had been bullied at school because she identified as a "furry--running on all fours, jumping, that sort of stuff." This girl, to recall, experienced sexual trauma as a child, had multiple mental health and neurocognitive problems (including autism), and would occasionally age-regress by sucking on a pacifier and watching Teletubbies.
Read 9 tweets

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