The WPATH Files - 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.

Tweet/archive
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.

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LEAKED FILES FROM WPATH REVEAL WIDESPREAD MEDICAL MALPRACTICE ON CHILDREN AND VULNERABLE ADULTS AT GLOBAL TRANSGENDER HEALTHCARE AUTHORITY ​

World Professional Association of Transgender Health (WPATH) members demonstrate a lack of consideration for long-term patient outcomes despite being aware of the debilitating and potentially fatal side effects of cross-sex hormones and other treatments ​

READ: THE WPATH FILES AND REPORT​

All Links ​

Full WPATH Files and Report ​

FAQ​

Panel Discussion Video​

Executive Summary​

Excerpts​

Powerpoint​

Press Release: JDA Worldwide for Environmental Progress ​

March 4, 2024

Newly leaked files from within the leading global transgender healthcare body have revealed that the clinicians who shape how “gender medicine” is regulated and practiced around the world consistently violate medical ethics and informed consent. The files, which were leaked from within the World Professional Association for Transgender Health (WPATH), were published today by the US-based think tank Environmental Progress.

WPATH is considered the leading global scientific and medical authority on “gender medicine,” and in recent decades, its Standards of Care have shaped the guidance, policies and practices of governments, medical associations, public health systems and private clinics across the world.

However, the WPATH Files reveal that the organization does not meet the standards of evidence-based medicine, and members frequently discuss improvising treatments as they go along. Members are fully aware that children and adolescents cannot comprehend the lifelong consequences of “gender-affirming care,” and in some cases, due to poor health literacy, neither can their parents.

“The WPATH Files show that what is called ‘gender medicine’ is neither science nor medicine,” said Michael Shellenberger, President and founder of Environmental Progress. “The experiments are not randomized, double-blind, or controlled. It’s not medicine since the first rule is to do no harm. And that requires informed consent.”

The raw files have been published in a report called The WPATH Files: Pseudoscientific surgical and hormonal experiments on children, adolescents, and vulnerable adults, which contains analysis by journalist Mia Hughes that puts the WPATH Files in the context of the best available science on gender distress.

Environmental Progress has made all files available to read at the end of the report. The leaked files include screenshots of posts from WPATH’s internal messaging forum dating from 2021 to 2024 and a video of an internal panel discussion. All names have been redacted other than several WPATH members of public significance, such as Dr. Marci Bowers, an American gynecologist and surgeon who is the President of WPATH, and the Canadian pediatric endocrinologist Dr. Daniel Metzger.

In the WPATH Files, members demonstrate a lack of consideration for long-term patient outcomes despite being aware of the debilitating and potentially fatal side effects of cross-sex hormones and other treatments. Messages in the files show that patients with severe mental health issues, such as schizophrenia and dissociative identity disorder, and other vulnerabilities such as homelessness, are being allowed to consent to hormonal and surgical interventions. Members dismiss concerns about these patients and characterize efforts to protect them as unnecessary “gatekeeping.”

The files provide clear evidence that doctors and therapists are aware they are offering minors life-changing treatments they cannot fully understand. WPATH members know that puberty blockers, hormones, and surgeries will cause infertility and other complications, including cancer and pelvic floor dysfunction. Yet they consider life-altering medical interventions for young patients, including vaginoplasty for a 14-year-old and hormones for a developmentally delayed 13-year-old.

The WPATH Files also show how far medical experiments in gender medicine have gone, with discussions about surgeons performing “nullification” and other extreme body modification procedures to create body types that do not exist in nature.

A growing number of medical and psychiatric professionals say the promotion of pseudoscientific surgical and hormonal experiments is a global medical scandal that compares to major incidents of medical malpractice in history, such as lobotomies and ovariotomies.

“Activist members of WPATH know that the so-called ‘gender-affirming care’ they provide can result in life-long complications and sterility and that their patients do not understand the implications, such as loss of sexual function and the ability to experience orgasm,” Shellenberger said. “These leaked files show overwhelming evidence that the professionals within WPATH know that they are not getting consent from children, adolescents, and vulnerable adults, or their caregivers.”

Environmental Progress has written to every WPATH member named in the files, as well as additional members whose names have been redacted, to confirm their comments and offer a right of reply. Two people responded – one confirmed that the comments attributed to them were correct, and another did not deny their comments but refuted Environmental Progress’ interpretation of them. Mention of Environmental Progress’ outreach to members via email was then later seen in the form of comments on WPATH’s internal messaging forum.

Contact Details​

• For media queries in the United States of America, please contact press@jdaworldwide.com
• For media queries outside the U.S., please contact press@sex-matters.org

Images from Twitter thread:



Full text PDF of files attached to this post

 

[Someoneelse]

God help us.

 

[GunCar Gary]

WPATH is a disgusting organization and this kind of information coming to light should stop the butchering, soon or a later, it’s less likely that any of these sickos will actually face repercussions but i can always hope

 

[The Mass Shooter Ron Soye]

Big ups to Shellenberger. Never heard of his org Environmental Progress, I see most of his work on Substack.

 

[Chilson]

As with all these "groundbreaking" discoveries, its just showing that the anti-christ is in fact the anti-christ.

Anyone with a half functioning brain knows all of this. The only ones surprised are braindead normies and even then they will just put their heads in the sand because the powers that be told them to.

*Sigh* its all so tiresome.

 

[Gintoki's Sweet Tooth]

When are we going to hear from keffals, Anthony or Alex about this? These people should kill themselves

 

[Larry David's Opera Cape]

Some more interesting posts from the complete files. A man wants to take an erection enhancing drug and also induce lactation to suckle his partner's baby:



Trying to talk a man who knows he is an AGP with a fetish out of it and into going full troonout:



And another of the like:



Troon wants to induce lactation "just for the experience" and not to feed a baby:



There's also a section on the increased demand for "nullification," a FTM who is not bathing or changing her clothes, an 80 year old getting the cock chop, methods for pulling off insurance fraud, and much much more. Feel free to flip through and share your faves.

 

[David Brown]

As with all these "groundbreaking" discoveries, its just showing that the anti-christ is in fact the anti-christ.

Anyone with a half functioning brain knows all of this. The only ones surprised are braindead normies and even then they will just put their heads in the sand because the powers that be told them to.

*Sigh* its all so tiresome.

I'm so exhausted... magic jew please deliver me from my tiresome life of telling people on the innernet that I'm smarter than everyone else...

 

[The Mass Shooter Ron Soye]

Now on Substack:

https://public.substack.com/p/the-wpath-files

https://ghostarchive.org/archive/oGpPh

 

[Larry David's Opera Cape]

Also on the Economist (paywalled)/ archive.

Few areas of medicine arouse as strong emotions in America as transgender care. The publication this week of hundreds of posts from an internal messaging forum will add fuel to this fire. The files show members of the World Professional Association for Transgender Health (wpath), an interdisciplinary professional and educational association devoted to the field, discussing how to treat patients.
The non-profit group that obtained and published the files, Environmental Progress, which pushes strong views on more than just the environment, claims that the documents reveal “widespread medical malpractice on children and vulnerable adults”. That claim is questionable. But wpath’s standards of care have previously been cited by other medical organisations, particularly in America. The discussions of its members show that the provision of so-called gender-affirming care is riddled with far more doubt than wpath’s outward message that such interventions are “not considered experimental”.
Shedding light on this field is helpful, even if the leaking of private information—including names of practitioners—is ethically dubious. Because gender-affirming care has become politicised, its practice has retreated into the shadows. It is rare to get a sense of what it entails.
Based on the files, wpath has members who are worryingly dogmatic. But mostly the exchanges reveal a group of surgeons, social workers and therapists struggling with how best to serve patients. They debate the challenges of gaining informed consent for medical treatments from children and people with mental-health disorders. They exchange tips on how to deal with requests for “non-standard” surgery, such as patients who would like to preserve their penis but also have a “neovagina” (through a procedure known as “phallus-preserving vaginoplasty”).
“I’m definitely a little stumped,” says one therapist about trying to get patients as young as nine to understand the impact that interventions would have on their fertility. (Hormone medications can permanently reduce fertility, and even cause sterility in some cases.) Colleagues agree that talking to a 14-year-old about fertility preservation brings reactions such as: “Ew, kids, babies, gross”, or “I’m going to adopt.” One clinician admits that “we try to talk about it, but most of the kids are nowhere in any kind of brain space to really talk about it in a serious way.” He adds: “that has always bothered me.”
Concerns about making irreversible changes to children’s bodies, and the impossibility of gaining their informed consent for this, have been at the heart of controversy over transgender medicine. In America 23 states have now restricted or banned such care for minors, even though almost all medical associations in America support it—an issue the Supreme Court has been asked to rule on. Much less focus has been on whether adult patients with psychiatric disorders can give informed consent for such procedures. On that matter the files are especially revealing.
In the autumn of 2021 several practitioners mention that they have a high number of patients with dissociative identity disorder (did), formerly known as multiple-personality disorder. The group discusses the challenges of gaining consent from each “alter” (alternative personality) before starting hormone therapy, particularly when the alters had different gender identities. Some members appeared to view did primarily through the lens of identity. As one therapist put it: “I too would love to hear from others how we as clinicians…can work with these clients to honour their gender identity and fractured ego identities.” For a field sometimes accused of over-medicalisation, such “under-medicalisation” is just as concerning.

Are you sure?​

The conversation ventures into the absurd—and sounds more ideological than clinical—when talking about unusual requests for body modifications. “I’ve found more and more patients recently requesting ‘non-standard’ procedures such as top surgery without nipples, nullification [the removal of all external genitalia], and phallus-preserving vaginoplasty,” writes a surgeon from California. Several members recognise this and exchange tips. One asks whether “non-standard” is the best term as “they may become standard in the future.”
The surgeon from California shares his website, which includes a menu of surgical options, and adds that he’s “quite comfortable tailoring my operations to serve the needs of each patient”. This attitude to surgical shopping is uniquely American. Pandering to it will not help gender medicine with its argument that it is medically necessary and non-experimental.
In response to the leaks, the California surgeon says he is comfortable performing these operations because “wpath recognises and acknowledges these procedures and has established evidence-based guidelines on how to help a patient who is requesting them.” But a doctor in Canada says that after joining the forum her “expectations of scientific discourse were soon dashed”. Her posts were met with “emotional, political or social reactions rather than clinical ones”.
wpath, and those arguing for gender-affirming care more broadly, have felt the need to present a level of certainty in an area of medicine full of uncertainty. Bringing frank discussion into the open will surely be healthy.

 

[Larry David's Opera Cape]

NY Post/archive

Secret files show how international group pushes shocking experimental gender surgery for minors
By Social Links forGerald Posner
Published March 4, 2024, 7:17 p.m. ET

Newly leaked files from the world’s leading transgender health-care organization reveal it is pushing hormonal and surgical transitions for minors, including stomach-wrenching experimental procedures designed to create sexless bodies that resemble department-store mannequins.

The World Professional Association for Transgender Health documents demonstrate it’s controlled by gender ideologues who push aside concerns about whether children and adolescents can consent to medical treatments that WPATH members privately acknowledge often have devastating and permanent side effects.

Yet the US government, American doctors and prominent organizations nonetheless rely on WPATH guidelines for advice on treating our youth.

The files — jaw-dropping conversations from a WPATH internal messaging board and a video of an Identity Evolution Workshop panel — were provided to journalist Michael Shellenberger, who shared the documents with me.

Shellenberger’s nonprofit Environmental Progress will release a scathing summary report, comparing the WPATH promotion of “the pseudoscientific surgical destruction of healthy genitals in vulnerable people” to the mid-20th-century use of lobotomies, “the pseudoscientific surgical destruction of healthy brains.”

‘Arbitrary’ age limits​

The comparison to one of history’s greatest medical scandals is not hyperbole.

It is particularly true, as the files show repeatedly, when it involves WPATH’s radical approach to minors.

When the organization adopted in 2022 its current Standards of Care — relied on by the National Institutes of Health, the World Health Organization and every major American medical and psychiatric association — it scrapped a draft chapter about ethics and removed minimum-age requirements for children starting puberty blockers or undergoing sexual-modification surgeries.

It had previously recommended 16 to start hormones and 17 for surgery.

Not surprisingly, age comes up frequently in the WPATH files, from concerns about whether a developmentally delayed 13-year-old can start on puberty blockers to whether the growth of a 10-year-old girl will be stunted by hormones.

During one conversation, a member asked for advice about a 14-year-old patient, a boy who identified as a girl and had begun transitioning at 4.

The child insisted on a vaginoplasty, a surgery that removes the penis, testicles and scrotum and repositions tissue to create a nonfunctioning pseudo-vagina. It requires a lifetime of dilation. Was he too young at 14?

Marci Bowers, WPATH’s president and a California-based pelvic and gynecologic surgeon who is herself transgender, said she considered any age limit “arbitrary.”

But she would not do it. Why?

“The tissue is too immature, dilation routine too critical.”

In lay terms, that means boys who are too young do not have enough penal tissue for the surgery and the surgeon must harvest intestinal lining to build the faux vagina. Even Bowers admits that can lead to “problematic surgical outcomes.”

She would know since she has performed more than 2,000 vaginoplasties. Her highest-profile patient is 17-year-old Jazz Jennings, the transgender star of reality TV show “I Am Jazz.”

Three corrective surgeries were required to fix problems from the original vaginoplasty.

“She had a very difficult surgical course,” Bowers admitted in a 2022 appearance on the show. “We knew it would be tough — it turned out tougher than any of us imagined.”

Still, Bowers told her colleagues in the internal discussion forum of the best age for an adolescent to undergo surgery: “sometime before the end of high school does make some sense in that they are under the watch of parents in the home they grew up in.”

Christine McGinn, a Pennsylvania plastic surgeon and herself transgender, agreed. McGinn has performed “about 20 vaginoplasties in patients under 18” and thinks the “ideal time in the U.S. is surgery the summer before the last year of high school. I have heard many other surgeons echo this.”

Waiting until teens are older than 18 and in college is problematic, she said: “there are too many stressors in college that limit patients’ ability to dilate.”

Dangers downplayed​

WPATH assures patients that surgical and hormonal interventions are tested and safe. It is a different matter in private.

President Bowers, for instance, said publicly in 2022 that puberty blockers are “completely reversible,” although in the internal forum she conceded it is “in its infancy.”

What about children who are infertile for life since they started hormone blockers before they reached puberty?

Bowers told her colleagues the “fertility question has no research.”

At other stages, members talk frankly about the complications for the transition surgery for girls, a phalloplasty in which a nonfunctioning pseudo-penis is fashioned from either forearm or thigh tissue.

It requires a full hysterectomy and surgical removal of the vagina. They also discuss other serious consequences, including pelvic inflammatory disease, vaginal atrophy, abnormal pap tests and incontinence.

A 16-year-old girl who had been on puberty blockers for several years before she was put on testosterone for a year had developed two liver tumors that an oncologist concluded the hormones had caused. Another member described “a young patient on testosterone for 3 years” who had developed “vaginal/pelvic pain/spotting . . . [and] atrophy with the persistent yellow discharge.”

Several colleagues described patients with similar conditions, some with debilitating bowel problems or bleeding and excruciating pain during sex (“feeling like broken glass”).

Vaginal estrogen creams and moisturizers as well as hyaluronic acid suppositories “can be helpful.”

One WPATH member seemed surprised: “The transgender people under my surveillance do not complain about this matter. However, I confess that I have never asked them about it.”

Rise of ‘de-gender’ surgery​

The litany of transition surgery’s side effects did not stop WPATH from endorsing far more radical “nullification” surgeries for patients who do not feel either male or female and identify only as nonbinary.

Several dozen so-called “de-gendering” surgeries are designed to create a sexless, smooth cosmetic appearance that is unknown in nature. There is even an experimental “bi-genital” surgery that attempts to construct a second set of genitals.

In 2017, when tabloids reported a 22-year-old man had spent $50,000 to surgically remove his sex organs so he could “transform into a genderless extra-terrestrial,” it seemed a one-off oddity.

But WPATH has enshrined that concept in its Standard of Care — the same document in which the group endorsed for the time first time chemical or surgical castration for patients who identify as eunuchs. (WPATH even linked to the Eunuch Archives, where men anonymously share castration fetishes.)

These science-fiction-like surgeries are not only reserved for adults.

“How do we come up with appropriate standards for non-binary patients?” asked Thomas Satterwhite, a San Francisco-based plastic surgeon who has operated on dozens of patients younger than 18 since 2014. “I’ve found more and more patients recently requesting ‘non-standard’ procedures.”

What are nonstandard procedures? They include “non-binary top surgery,” a mastectomy without nipples. There are brutal procedures for girls that eliminate all or part of the vagina and for boys that amputate the penis, scrotum and testicles.

The goal, as one San Francisco surgical clinic proclaims on its website, “is a smooth, neutral body that is cosmetically free of sexual identification.” On TikTok the trend is called a “flat front.”

‘Too young to understand‘​

A particularly intense subject of discussion was whether minors could understand the lifelong consequences of their gender treatments. Minors are presumed by law to be incapable of making an informed decision about having a vasectomy or tubal ligation.

Gender surgeries are an exception, however.

WPATH’s Standard of Care allows all procedures so long as the minor “demonstrates the emotional and cognitive maturity required to provide informed consent/assent for the treatment.”

In a May 2022 internal workshop, “Identity Evolution,” WPATH members conceded that was all but impossible.

Daniel Metzger, the British Columbia endocrinologist who cowrote the Canadian Pediatric Society’s position paper on health care for trans minors, said, “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.”

Metzger noted adolescents are incapable of appreciating the lifelong consequence of infertility. “It’s always a good theory that you talk about fertility preservation with a 14-year-old,” he said, “but I know I’m talking to a blank wall. They’d be like, ‘ew, kids, babies, gross.’ Or, the usual answer is, ‘I’m just going to adopt.’ And then you ask them, ‘Well, what does that involve? Like, how much does it cost?’ ‘Oh, I thought you just like went to the orphanage, and they gave you a baby.’ . . . I think now that I follow a lot of kids into their mid-twenties, I’m always like, ‘Oh, the dog isn’t doing it for you, right?’”

There is extensive research showing adolescent brains are wired to have little control over rash behavior and are not capable of grasping the magnitude of decisions with lifelong consequences. It is why society doesn’t allow teens to get tattoos or buy guns. Car-rental agencies set 25 as the minimum age for renting a car, and Sweden sets the same limit for deciding on sterilization.

Detransitioners ignored, shunned​

Although many WPATH members privately doubt that adolescents can give truly informed consent to life-altering procedures, they must affirm whatever children say about their gender.

Unless, the WPATH files disclose, the patient wants to reverse course and become a so-called detransitioner.

WPATH members mostly dismiss those cases as insignificant or overblown by the media and question whether minors who want to revert to their birth sex really understand what they are doing.

It’s a question that would never be asked for minors who declared themselves to be gender dysphoric.

One case involved a 17-year-old boy, just graduated from high school, who had been on testosterone for two years. He was reported to be “very distraught and angry. He reports he feels he was brainwashed and is upset by the permanent changes to his body.”

A self-described “queer therapist” did not believe any young person could be brainwashed. “In my experience, those stories come from people who have an active agenda against the rights of trans people.”

WPATH President Bowers said that “I do see talk of the phenomenon [detransitioners] as distracting from the many challenges we face.”

‘Frankenstein files’​

The leaked files put a spotlight on the danger of mixing ideological activism with medicine and science. They should serve as an urgent wakeup call for the medical associations and government agencies that rely on WPATH guidance for transgender health.

The files might even prompt investigations into how those with distorted personal agendas seized control of the organization at the expense of science and patients.

Investigating what has gone wrong at WPATH might prove uncomfortable for some gender progressives in the Biden administration, none more so than Adm.

Rachel Levine, the assistant secretary for health. Levine, the first transgender four-star military officer, is a WPATH member and has lavished praise on the organization.

She says it “assesses the full state of the science and provides substantive, rigorously analyzed, peer-reviewed recommendations to the medical community on how best to care for patients who are transgender or gender non-binary. It is free of any agenda other than to ensure that medical decisions are informed by science.”

Either Levine is unaware of the hormonal and surgical experimentation the group promotes or refuses to acknowledge it.

“The Frankenstein files.”

That is how a pediatrician described the leaked documents after I shared them with her.

Unfortunately, this is no horror novel.

It is a medical travesty playing out in real time, and the casualties are our children.

Gerald Posner is the author of 13 books; his latest is “Pharma: Greed, Lies and the Poisoning of America.”

 

[Positron]

I suspect Zach Antolak has a form of color-blindness new to science.
(Genspect's "Who's Who in the WPATH Files")

Hey! This doctor looks familiar!


Sidhe Gallagher isn't the only surgeon who doesn't have a BMI limit.

I can't even imagine what a person with a BMI of 65 looks like.

 

[Kari Kamiya]

Tell us something we don't already know.

Some more interesting posts from the complete files. A man wants to take an erection enhancing drug and also induce lactation to suckle his partner's baby:

I didn't want to know this. We have gone too far with this knowledge.

This better get more traction and fast, it's going to get memoryholed otherwise.

 

[reptile baht spaniard rid]

Of course tranny doctors would treat DID like it’s actually a real thing.

 

[The Gene Genie]

This shit is so horrifying. Assuming (rainbows) that this crazy fucking shit ends for good, how will they look back on us? On the world? They'll think we went mad. Absolutely, positively, over-the-moon, stark raving mad.

And they'd be right.

 

[Positron]

The Files mention at least one case of fatal liver cancer attributable to testosterone abuse.


And there is another case of huge liver tumors in a 16-year-old girl who took the T.

 

[RollingRock2]

Disheveled bearded schizophrenic man claims to be a woman, doctor(?) does not observe delusions, can't figure why they get a bad feeling about this one

 

[FrancineCansMcGee]

It’s super important to get consent from all of the DID alters before treatment. Unless one says they are AGP, you can ignore that one.

 

[Otterly]

The Files mention at least one case of fatal liver cancer attributable to testosterone abuse.

The soviet female athletes who were doped with T against their will developed significant liver issues.
For any journos lurking here: here’s something you’ll want to read through.
Thread 'Top Academic Behind Fetish Site Hosting Child Sexual Abuse Fantasy, Push To Revise WPATH Guidelines'
https://kiwifarms.net/threads/top-a...ntasy-push-to-revise-wpath-guidelines.119655/
Castration fetishist group involved with WPATH.
It’s important to understand that WPATH are activists. Normally when you get a patient advocacy type group for something like diabetes you’ll have a mix of experts and a very few patients as advisory. WPATH are NOT that. They are purely and simply a pressure group with the aim of normalising as extreme a form of child access and transition as they can. It would be like a bunch of feral junkies being listened to and setting policy on opiate accces.
ETA; there’s a book called Faust’s gold about the East German and soviet doping programs, worth a read
‘

 

[Trianon]

Some more interesting posts from the complete files. A man wants to take an erection enhancing drug and also induce lactation to suckle his partner's baby:

View attachment 5784104

Trying to talk a man who knows he is an AGP with a fetish out of it and into going full troonout:

View attachment 5784106View attachment 5784114

And another of the like:

View attachment 5784118View attachment 5784119

Troon wants to induce lactation "just for the experience" and not to feed a baby:

View attachment 5784141View attachment 5784143

There's also a section on the increased demand for "nullification," a FTM who is not bathing or changing her clothes, an 80 year old getting the cock chop, methods for pulling off insurance fraud, and much much more. Feel free to flip through and share your faves.

Oh I looooooove the comment that "academic gender theory" "can also be a disempowering rabbit hole that goes to some dark places." Postmodernism? Antisocial and purposefully anxiety-inducing? In my Foucault???

Simply amazing. No notes.