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In "Clinical and Ethical Considerations in the Treatment of Gender Dysphoric Children and Adolescents: When Doing Less Is Helping More," psychologist David Schwartz, Ph.D. exhorts clinicians to treat children and adolescents with gender dysphoria using psychotherapy rather than pharmacological...

Following extensive stakeholder engagement and a systematic review of evidence, England’s National Health Service (NHS) has issued new draft guidance for the treatment of gender dysphoria in minors, which sharply deviates from the “gender-affirming” approach.

Is Britain tiptoeing away from a medical scandal? Until recently, many gender specialists in the National Health Service (NHS) treated trans-identifying children by broadly following an “affirmative” approach which accepts patients’ self-diagnosis as the starting-point for treatment. That can mean...

Recently, The Lancet published an editorial defending broad availability of medicalization of gender-dysphoric youth. The editorial was written in response to several US bills that aim to limit the use of hormones and surgery in minors. It asserted that hormonal and surgical interventions for...

In a watershed moment, on February 3, 2026, the American Society of Plastic Surgeons’ (ASPS) issued an official position statement recommending that a key step of “gender-affirming” care—surgical intervention—be delayed until the patient is “at least 19 years old.” It is the first major medical...

The UK’s National Health Service will close the world’s largest pediatric gender clinic, the Gender Identity Development Service in London (GIDS) often known as the Tavistock, after the NHS Trust which houses it.  An independent review condemned the clinic as “not a safe or viable...

The following publication by Hannah Barnes appeared in the New Statesman online on 27 May 2025. The article has been reproduced below fully, with permission.

Sallie Baxendale’s new article "How to be a Better Doctor" in the British Journal of Hospital Medicine shows how personal biases can overshadow objective evidence, highlighting pediatric gender medicine as a key example. She contrasts systematic reviews (like the Cass Review) with expert-consensus...