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Megyn Kelly hosts a discussion on transitioning and de-transitioning, featuring Walt Heyer and Grace Ladinsky-Smith, both of whom regret their transitions. Walt transitioned to Laura Jensen in his forties but de-transitioned after realizing he needed therapy for childhood trauma rather than surgery. He recounts how adverse childhood experiences, including emotional and sexual abuse, influenced his decision to transition. He emphasizes that many individuals who transition may be dealing with unresolved trauma rather than genuine gender dysphoria. Grace, who began questioning her gender in her twenties, underwent a double mastectomy and hormone therapy but later recognized her mistake. She describes her experience as being influenced by social media and a mental health crisis, leading her to believe that transitioning would resolve her issues. Both Walt and Grace face backlash from trans activists for sharing their stories, highlighting the societal pressure to affirm transitions without exploring underlying psychological issues. The conversation shifts to the medical perspective, with Dr. Julia Mason and Dr. Erica Anderson discussing the implications of puberty blockers and cross-sex hormones. They outline significant risks associated with these treatments, including bone density issues, cognitive effects, and irreversible changes to sexual function. They express concern over the lack of thorough evaluations before medical interventions are prescribed, noting that many young people may be seeking transition as a solution to broader psychological problems. The discussion also touches on the increasing number of young girls identifying as trans and the potential societal factors influencing this trend. Both doctors advocate for a more cautious approach, emphasizing the need for individualized assessments and addressing underlying mental health issues rather than rushing into medical treatments. They call for a systematic review of the scientific evidence surrounding these practices, similar to actions taken in countries like Sweden and Finland, which have begun to reassess their approaches to gender-affirming care for minors.

Dr. Jared Ross, affiliated with the organization Do No Harm, discusses alarming findings regarding gender-affirming treatments for minors in the U.S. Their recent database revealed that between 2019 and 2023, approximately 14,000 minors underwent sex change treatments across nearly 2,000 hospitals, including 6,000 surgeries and 63,000 prescriptions for cross-sex hormones and puberty blockers, amounting to $120 million in insurance claims. Ross criticizes the medical community for endorsing these treatments, arguing that minors cannot provide informed consent and that these practices represent a significant moral failing. He highlights the psychological and physical harm inflicted on vulnerable children, particularly those from broken homes or with histories of abuse. Ross emphasizes that the medical profession has become complicit in a "growth industry" focused on gender transition, often prioritizing profit over patient welfare. He calls for a reevaluation of these practices, suggesting that the medical community has failed to self-regulate and that such surgeries should be banned. The organization aims to raise awareness and mobilize public action against these treatments, urging people to visit their website for more information and involvement.

In the last decade, there has been a significant increase in teenage girls without prior gender dysphoria identifying as transgender, often influenced by peers and social media. Between 2016 and 2017, requests for gender surgeries among young women in the U.S. quadrupled. Abigail Shrier, author of *Irreversible Damage: The Transgender Craze Seducing Our Daughters*, discusses this alarming trend, emphasizing the lack of medical oversight in the current affirmative care model, which encourages doctors to affirm a teenager's self-diagnosis without thorough evaluation. Shrier highlights that many of these girls, often from supportive backgrounds, are experiencing mental health issues and find validation in transitioning. She argues that the current medical regime lacks safeguards, leading to potentially irreversible decisions made by young individuals. The influence of social media and the allure of being part of an oppressed minority contribute to this phenomenon. Parents, particularly those who are politically progressive, often feel helpless and fear losing custody if they question their child's decision to transition. Shrier notes that many parents are blindsided by the rapid changes in their children's identities and the aggressive push from activists and educators. The conversation around gender identity has become a cultural battleground, with significant implications for women's rights and the experiences of transgender individuals.

On Origins Podcast, Lauren Schwarz and Arthur Rousseau discuss their chapter in The War on Science, focusing on gender-affirming care (GAC) and medical standards. They argue that the World Professional Association for Transgender Health (WPATH) wields influence, with U.S. medical bodies deferring to it, while the UK’s Cass report and countries have begun to curtail such care. They describe WPATH’s standards of care (SOC 8) as presenting itself as evidence-based, lifesaving care, yet note published reviews finding the strength of the evidence often low or indirect, and that guidelines are not always consistent with the underlying literature. They recount that Johns Hopkins underwent political pressure to withdraw systematic reviews and that WPATH later imposed an approval mechanism over future publications. The speakers condemn the reliance on “lived experience” over rigorous evidence, and highlight concerns about age restrictions being removed and consent for minors to hormonal or surgical interventions. They cite a lack of long-term outcome data, no conclusive evidence that gender-affirming care reduces suicide, and cases illustrating the risks of messaging to afraid families. They call for better education, transparency, and a return to science-based medicine, while referencing the Tennessee minors’ care case and urging global alignment.