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I have two daughters and can’t imagine telling them they were born wrong. That idea is harmful and misguided. Medical interventions like halting puberty, administering opposite-sex hormones, and performing surgeries on children are alarming. In the U.S., insurance data shows that up to 179 girls under 12 and a half have undergone double mastectomies. This means young girls are having their breasts removed because they’ve been led to believe they are boys inside.

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We're starting the process with Ting, who wants a vagina. The network of moms is supportive. Nicole is a junior in high school, planning surgery between junior and senior year. She's doing great.

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If someone desires female anatomy but does not have it, there is a surgical option available. This procedure involves inverting the penis to create a vagina.

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Dr. Money concluded the interview by discussing the concept of gender identity. He acknowledged that it can be difficult for individuals to talk about their gender identity, whether they identify as male or female, boy or girl, or man or woman. Many people have come to his office with similar feelings, unable to discuss this important aspect of their lives. Dr. Money assured the person being interviewed that he would be the one person in the world they could confide in.

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A politician introduces a video clip of a surgeon who identifies as the "queer surgeon" and performs gender affirming surgeries. The politician expresses concern over experimental and irreversible procedures being performed on children. In the clip, the surgeon states that 80% of their practice is gender affirming surgery, with a focus on genital surgeries like vaginoplasty and phalloplasty. They acknowledge an increase in adolescents seeking surgical intervention, which presents unique challenges, especially for those who have undergone puberty suppression. The surgeon admits that there is a lack of published research on genital surgeries for pubertally suppressed adolescents and that they are "just kind of learning and figuring out what works." They explain that puberty suppression affects the amount of tissue available for vaginoplasty, requiring alternative techniques like using peritoneum to line the vaginal canal. The surgeon notes that they will know more about the outcomes in 5-10 years and that it will be fascinating to see how these kids turn out. The politician then condemns these procedures as "barbarism" and "mutilation of children" that should be illegal. They claim that children lack the capacity to make such life-altering decisions and that sex is an immutable characteristic.

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Doctor Money used the original transcripts of interviews to support his theory that a boy could be raised as a girl successfully. In one session, he asked who the boss was, and Brian, the boy, was identified as the boss. When asked if he fought back, Brian said yes, while Brenda, the girl, said no because girls don't fight back. Doctor Money's theory gained attention worldwide, suggesting that nurture was more important than nature in determining gender identity. However, the Reimer family, whose daughter underwent a sex change, was unaware of Doctor Money's claims. Brenda exhibited masculine behavior, contradicting the supposed success of the gender change.

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Genital mutilation is a human rights violation, especially for minors. It's concerning that American culture is normalizing hormones for minors to prevent development. Do I believe minors are capable of making life-changing decisions about changing one's sex? Transgender medicine is complex with robust research and standards of care. If confirmed, I'll discuss the particulars. I'm alarmed that you won't say minors shouldn't amputate their breasts or genitalia. Minors don't have full rights and parents need to be involved. Will you make a firm decision? Transgender medicine is complex, I would be pleased to discuss the standards of care with you. The witness refused to answer if minors should be making these momentous decisions. You're willing to let a minor take things that prevent their puberty, and you think they get that back? You have permanently changed them. Rachel Levine has been confirmed as the next US Assistant Health Secretary.

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Special interest groups influenced Jids to offer physical interventions to children at a young age without strong evidence. Important information about puberty blockers and surgical risks was not shared with families due to fear of backlash. Lack of communication within Jids led to crucial details being overlooked. Written information on surgery implications was only provided in 2019. Families need full information on interventions for informed consent.

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David and Brian, twins who were subjects of a controversial experiment by Dr. Money, decided to speak out against him after realizing he had falsely portrayed their case as a success. They wanted to prevent others from going through the same trauma. The experiment involved inappropriate sexual positions and taking pictures of them when they were just 7 years old. However, after the documentary was aired, Brian's mental health worsened. David visited him frequently, trying to provide support.

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Clementine began puberty blockers at 12, testosterone at 13, and had a double mastectomy at 14. At 20, she is detransitioned and seeking reconstructive surgery, which her insurance denied. She may pursue legal action with the help of Campbell, Miller, Payne. Clementine says childhood sexual abuse was ignored, but counselors encouraged her to transition due to negative feelings about her body. She rejected womanhood, associating it with pain from the abuse. Therapy addressing the abuse helped her realize she didn't want to transition, and the loss of fertility and changes to her body began to sink in. Before starting puberty blockers, no one asked about the abuse. At her first appointment with Dr. Johanna Olson-Kennedy at Los Angeles Children's Hospital, she was prescribed puberty blockers 30 minutes in, after being out for 4 months. Dr. Olson-Kennedy told Clementine's parents that she was deeply suicidal and that she would be at high risk for suicide if they didn't let her transition.

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Dr. Money believed that a baby's upbringing determines their gender identity more than their genes. He based this theory on his research with intersex individuals, who have both male and female physical characteristics. However, some argued that this theory might not apply to all children due to hormonal differences in the womb. To prove his hypothesis, Dr. Money needed two ordinary boys for an experiment: one would be raised as a girl, and the other would remain a boy. This opportunity arose with the Rhymer twins.

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At Johns Hopkins Hospital, a child underwent sexual reassignment at 22 months old, becoming Brenda Lee. Despite efforts to raise her as a girl, Brenda rebelled against her female identity. She faced social rejection and struggled with her gender identity. Brenda eventually learned the truth and transitioned back to living as a boy named David at age 14. Brenda's family sought forgiveness, and she showed a compassionate heart in forgiving them.

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No one is forced to provide medication to adolescents; doctors choose to treat their patients based on the best available evidence. Many young people have known their identities from a very young age and have suffered for years before finding relief. It's important to note that it is the parents who consent to these treatments, not the children themselves. As parents, witnessing our children's suffering is painful, and they are acting out of love and trust in the advice from the medical community. The situation in Tennessee has complicated this dynamic.

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Josie and her mother were convinced that the irreversible treatment, despite making Josie sterile, was the right choice. However, one day, Josie had an unexpected conversation with her mother. Josie revealed that she might feel like a boy on the inside and a girl on the outside. Her mother acknowledged that only Josie knows the answer to that. Josie expressed that if she wanted to grow up as a man, she would tell her mother. Josie admitted feeling unsure about her identity, which surprised her mother. This was the first time Vanessa had heard Josie sound uncertain.

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At Johns Hopkins Hospital, a child underwent sexual reassignment at 22 months old, becoming Brenda Lee. Despite efforts to raise her as a girl, Brenda struggled with her identity, rejecting feminine traits. Bullied at school, Brenda faced isolation and violence. Reluctantly taking female hormones, she resisted surgery. At age 13, Brenda was told the truth and transitioned back to David. Despite forgiveness from family, self-acceptance remained a challenge.

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Admiral Rachel Levine, a pediatrician and the assistant secretary for the Department of Health and Human Services, addresses concerns about children transitioning before 18. She emphasizes the challenges of adolescence, particularly for those experiencing gender dysphoria. If a child feels female but is undergoing male puberty, it can be distressing. Critics argue that children are too young to make such decisions. Levine clarifies that for prepubertal children, no medical procedures are performed; instead, they are supported through therapy to explore their feelings.

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Doctor Olsen faced a decision regarding Josie's treatment. She advised starting hormone blockers around age 13, ensuring Josie wouldn't have to wait until 16 to begin. Josie received the blockers as an implant in her arm, showing great bravery as she embraced this new chapter in her life. The doctor reflected on how, just twenty years ago, such treatment wouldn't have been possible, and Josie would have faced male puberty, which was a terrifying thought. The doctor expressed relief that they could provide this support now, emphasizing the importance of the decision for Josie's well-being.

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She mentioned that for pleasure, a girl could gently massage the testicles. She also discussed the topic of blocking puberty for individuals, although she did not mention the term "changing sex." Instead, she mentioned that one can block hair growth and facial hair.

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No doctor is being forced to provide medication to adolescents; they are choosing to treat their patients based on the best available evidence. Many young people have known their identities from a very young age and have suffered for years before finding relief. It's important to note that it is the parents who consent to this treatment, driven by love and concern for their suffering children. Parents are following the advice of medical professionals and doing what they believe is best for their kids. The situation in Tennessee has created challenges for these families.

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A breakthrough in surgery is the ability to harvest the peritoneal lining. Jazz, a medical case, presents a challenge as her puberty was effectively blocked, preventing normal genital growth. This makes it difficult for surgeons to use a conventional approach. They are using the peritoneum tissue to create what can be described as a patchwork or Franken vagina.

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Brenda was shown explicit birth photos to make her understand her gender, which shocked her as a young child. Doctor Money then tried to convince her to have surgery to construct a vagina, but Brenda was uncomfortable with the idea. She was told that the surgery would fix her genitalia and make it easier for her to pee. Brenda was scared and didn't understand why she needed surgery when she felt perfectly fine. She believed that the surgery would change her for the worse.

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Josie and her mother believed that irreversible treatment was the right choice, despite the fact that it would make Josie unable to have children. However, during a conversation, Josie expressed uncertainty about their gender identity. Josie wondered if they were a boy on the inside and a girl on the outside. Their mother acknowledged that only Josie could truly know the answer. Josie was told that if they wanted to grow up as a man, they could. Josie admitted to feeling unsure about their identity, which was a surprise to their mother. This was the first time Vanessa had heard Josie express uncertainty.

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Plastic surgery couldn't help Bruce Reimer, but then the Reimer family saw hope in a TV show featuring Dr. John Money, a pioneer in sex change surgery. Dr. Money, charismatic and confident, had brought a transsexual woman who had undergone the procedure. This gave the Reimers hope, and they reached out to Dr. Money. He suggested turning their baby son into a girl, and it seemed like the solution they were looking for. However, it wasn't just the Reimers who needed Dr. Money's help; he saw them as an answer to his own prayers.

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Speaker 0: Before publicizing Brenda's case, there were concerns about potential problems. Speaker 1: Brenda showed extreme negativism and aggression during her visits. Doctor Money attempted to make her accept her new gender by discussing the differences between male and female genitalia. Speaker 2: Doctor Money asked Brenda intimate questions to help her understand the distinction between boys and girls. Speaker 3: The questions were explicit and made me uncomfortable. However, some argue that focusing on genitalia was scientifically correct at the time. Speaker 2: Knowing a child's gender based on their genital appearance is important and commonly used clinically. Note: The concise transcript is within the 150-word limit.

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A doctor states that roughly 50% of the baby girls he delivers require an operation to remove and reshape a penis and testicles, adding that five of his seven daughters had the procedure. He claims Louise, one of the first babies he delivered, has dating problems. Another doctor accuses him of mutilating over 2,000 little boys by performing this surgery. The doctor responds that they weren't boys, but little girls trapped in little boys' bodies, and that boys are bad.
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