There is broad scientific consensus that the body of evidence regarding the benefits and risks of various treatment approaches for gender dysphoria - from highly invasive, such medical "gender affirmation" through hormones and surgeries, to least invasive such as psychotherapy - is of very low quality. SEGM recognizes the right of mature adults to undergo gender-affirming interventions despite the low quality of evidence on which the interventions are based. However SEGM is very concerned about applying experimental procedures to vulnerable youth whose pre-frontal cerebral cortices are still developing, whose identities are evolving, and whose ability to meaningfully consent to interventions with unknown long-term outcomes is highly uncertain.
SEGM's concern for gender-dysphoric youth is reinforced by a recent surge of youth with a new, poorly understood variant of gender dysphoria, complicated by multiple mental health issues. This further amplifies the risks of applying irreversible interventions not based on quality, reliable scientific evidence. SEGM has begun to compile a compendium of literature highlighting key studies that support our position of concern. This is an ongoing project, and we welcome any feedback from the research community. As a key part of the project, we will be providing critical evaluation and summaries of the key studies.
Please check this site frequently for updates.