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Bayswater Support Profile picture
@BayswaterSG
Feb 6 • 3 tweets • 2 min read • Read on X
The lack of evidence for mastectomy in response to gender dysphoria applies equally to adults, yet the NHS makes over 1000 referrals a year for these surgeries (link in next tweet).

Removing a young woman's breasts in response to psychological distress is a dereliction of the clinician's duty of care to protect vulnerable patients from harm.

The question is, what will it take for the NHS to alter course?
The thousands of NHS mastectomy referrals in response to gender dysphoria are only one part of the picture given the numbers of crowd-funders to get access to these surgeries privately, and some patients who are able to self-fund.

telegraph.co.uk/news/2025/02/1…

archive.ph/A9m2x
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More from @BayswaterSG

Bayswater Support Profile picture
Jan 13
Irresponsible reporting on mastectomy from @MetroUK (link in next post).

In reality: "the risk-benefit profile [...] is unfavorable: while the harms are well-documented, potential benefits, such as reduced dysphoria or improved quality of life, remain uncertain" (systematic evidence review for youth <26 years).

Source:
segm.org/SEGM-Digest-Is…
The Metro present emotive personal anecdote to make claims about an invasive surgical procedure that lacks an evidence base. The people most harmed by this are young women in distress.

metro.co.uk/2026/01/11/nea…
The Metro presents surgery as the solution for distress but fails to ask why this distress arose in the first place.

GIDS clinicians warned specifically about breast binding: "A common pitfall we have seen around binding is that over time it can intensify self-focus on the chest through the sensation and restriction of the binder"

repository.tavistockandportman.ac.uk/2683/1/Canvin%…
Read 5 tweets
Bayswater Support Profile picture
Nov 24, 2025
.@BayswaterSG parents feel a profound concern for yet another group of children who will be subjected to an unproven and life-changing medical intervention based on a flawed and uncertain diagnosis.
1/11kcl.ac.uk/research/pathw…
Calls for "more data" sound superficially reasonable, but skip conveniently over past failed attempts to find evidence of benefits from puberty blockers, including at the UK's own GIDS clinic.
2/11
Prioritising a highly consequential and unproven intervention over less invasive support options requires reasonable grounds to believe it will produce superior outcomes. That is lacking in the case of puberty blockers.
3/11
Read 12 tweets
Bayswater Support Profile picture
Oct 3, 2025
A new paper notes that treatment rates (e.g. for cross-sex hormones) are significantly higher than you would expect given well-established data on the clinical prevalence of gender dysphoria. 1/3
tandfonline.com/doi/full/10.10…
The authors also note an extraordinary rise in recorded cases of gender dysphoria, raising questions about what the diagnosis means and the extent to which sociocultural influence is at play. 2/3 Image
This prompts vital questions: Might these sociocultural shifts be creating a new category of medical patients? And are we medicalising young people who previously would not have met the threshold for a clinical pathway? 3/3
Read 4 tweets
Bayswater Support Profile picture
Sep 16, 2025
What approach will this new wellbeing pilot take? Will it be Cass-informed and rooted in an understanding of the multifactorial nature of symptoms presenting as gender-related distress? 1/7
gov.uk/government/new…
The same question about safe and effective care applies to the promised "digital mental health support and community-based services". 2/7
The government has doubled investment and expanded adult services, but is it examining the question of where these new medical patients are coming from? 3/7
Read 8 tweets
Bayswater Support Profile picture
Aug 28, 2025
A reminder for the new school term: Although there is still no @educationgov guidance for schools on supporting students who identify as trans or non-binary, schools must abide by existing statutory safeguarding obligations and UK law as follows 1/3
#edutwitter
Keeping Children Safe in Education (statutory obligations)
Schools "should take a cautious approach" when supporting "gender questioning children", bearing in mind the "many unknowns about the impact of social transition" and these children's wider "vulnerabilities, including having complex mental health and psychosocial needs". Schools must also work "in partnership with the child’s parents"

A failure to act in accordance with KCSIE puts children at risk and is a breach of a school's legal safeguarding obligations.
2/3
Compliance with UK equality law
Under 18s are either male or female in UK law in accordance with their biological sex (irrespective of any rights pertaining to other protected characteristics). Single-sex facilities etc are to be operated on the basis of sex (not gender identity).
3/3
Read 4 tweets
Bayswater Support Profile picture
Jun 15, 2025
Many MPs at this WESC session seem to believe that the only way trans-identified people can be accommodated in society is to conceal their trans status at all costs. We think this has profound, negative psychological consequences ... 1/6
We urge MPs to read this section of the Cass Review, reflecting on the drawbacks of living "in stealth". The reference here is to children, but these issues are familiar to many parents of young trans-identified adults. 2/6 Image
MPs who argue that concealing someone's sex at all costs is essential are sending a message that a trans identity is something deeply shameful which must be hidden from the rest of the world. 3/6
Read 7 tweets

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