Media

In a new investigation for The Center Square, SEGM co-founder and pediatrician Dr. Julia Mason comments on North Carolina’s funding of the Charlotte Transgender Healthcare Group, whose provider directory includes clinicians offering “gender-affirming care” to children despite the state’s restrictions on medical transition for minors. Mason questions claims of competency in advising parents of babies and toddlers "disturbing."

In a guest column, SEGM co-founder Dr William Malone examines the American Society of Plastic Surgeons’ recommendation against gender-related surgery for minors, placing it within a broader international shift toward more cautious, evidence-based care.

He also highlights SEGM’s role in bringing international evidence and clinical guidance into the US debate.

In this Physicians Weekly op-ed Roberto D’Angelo reflects on a shameful chapter in the history of mental healthcare: the decades during which medical professionals regarded homosexuality as a mental disorder and subjected homosexual patients to ineffective and harmful interventions, including electroshock therapy and chemical castration. He explores the profession’s current approach to working with young patients with gender dysphoria, questioning whether elements of this history are resurfacing.

Will Malone argues in his latest KevinMD article that the medical establishment's gradual self-correction in pediatric gender medicine is encouraging—exactly what should happen when clinicians follow the evidence, reassess prior assumptions, and adjust practice. Children deserve a medical system that is willing to learn and adapt, and to let evidence, not ideology, inform medical decisions.

Rekha Basu in her March 22 column opposes Iowa’s medical conscience bill permitting doctors to refuse to provide non-emergency medical treatments which violate their conscience due to religious or moral beliefs. She cites “abortion or gender-affirming surgery” as procedures that doctors must do or face discipline

To be a reliable tool, systematic reviews must provide unbiased recommendations about the efficacy of medical treatments based on a rigorous survey of potential harms, according to Dr. William Malone, the group’s co-founder. “When those standards aren’t met, the result isn’t clarity — it’s confusion dressed up as certainty."

The Department of Health and Human Services recently proposed a slate of regulations that would effectively ban hospitals from using puberty blockers for children, citing research that shows the drugs can cause irreversible harm. Activist groups decried the move, claiming that puberty blockers—when prescribed to children diagnosed with gender dysphoria—are reversible and merely pause development.

The Department of Health and Human Services just released its report on gender dysphoria. Its findings are impossible to ignore.

Drawing on systematic reviews in Europe and the U.S., the report shows that the evidence for medical interventions in minors is shakier than assumed -- and that the risks, including infertility, reduced bone density, cognitive effects, cardiometabolic disease, psychiatric complications, and surgical harms, are more serious than the public has been led to believe.

Recent lawsuits and a shift by a major medical organization are putting pediatric gender-transition treatments in the United States under new scrutiny, as critics point to weak evidence, mounting legal challenges from detransitioners, and growing professional divisions that could reshape the field.

An article in the Bulletin of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP) summarizes the proceedings of the SEGM Conference 2025.