health
February 24, 2026
Why physicians must reclaim 'First, do no harm' in adolescent care
I was born in the mid-1970s, but if I’d been born 35 years later, I am almost certain someone would have told me I was “actually” a boy.
TL;DR
- The author, born in the 1970s, describes a childhood as a tomboy without societal or medical intervention regarding her gender identity.
- She expresses concern that children with similar traits today might be quickly referred for gender-affirming medical interventions, including puberty blockers and surgery.
- The article cites examples of young people who later regretted irreversible gender transition surgeries, such as double mastectomies, and have pursued malpractice cases.
- The author supports the American Society of Plastic Surgeons' recommendation to delay gender-related surgeries until patients are at least 19 years old.
- She calls on other medical organizations to revise their guidelines regarding adolescent care, particularly concerning irreversible surgeries on minors.
- The article mentions the House of Representatives passing the Do No Harm in Medicaid Act, which would prohibit federal Medicaid funds for gender transition interventions for minors.
- The author urges physicians to speak out against what they perceive as excessive gender-affirming medical care for minors, emphasizing the oath to 'do no harm' and the lack of long-term evidence for such treatments.
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