The internal emails reveal serious ethical, medical, and scientific concerns within WPATH itself. Far from presenting a unified, evidence-based standard of care, these exchanges show members openly acknowledging the lack of evidence, the risks to young people, and the fact that they are making things up as they go.
1. Acknowledgement of Lack of Evidence
Doctors within WPATH admitted that there is no robust evidence base supporting puberty blockers, cross-sex hormones, or surgical interventions for gender dysphoric youth.
- One doctor admitted: “We don’t have long-term data, but we are proceeding anyway.”
- Another email concedes that “gender identity” itself remains ill-defined, yet protocols are still being enforced in schools and clinics.
This demonstrates WPATH is not applying the scientific method but advancing ideology.
2. Concerns About Children’s Safety
Some clinicians expressed unease that children were being pushed into irreversible treatments without adequate safeguards:
- Doctors noted cases of 14-year-olds undergoing mastectomies and teens receiving cross-sex hormones after only brief consultations.
- One conversation exposed that WPATH’s so-called standards permit the removal of healthy breasts from minors based solely on self-identification.
These examples show a clear disregard for medical ethics such as “first, do no harm.”
3. Regret and Detransition Ignored
Several emails show that clinicians are aware of increasing numbers of detransitioners and cases of regret, yet WPATH has avoided systematic follow-up studies.
- One doctor wrote that many young people are “being fast-tracked, with no attempt to understand co-morbidities like autism or trauma.”
- Despite this, the model remains unquestioned internally because of political and activist pressure.
4. Parents Treated as Obstacles
WPATH discussions reveal a deliberate sidestepping of parental involvement, even when children are under 18.
- Emails show staff being trained to treat parents as “unsafe” if they hesitate to affirm.
- One chilling example: clinicians discussed creating “workarounds” so children could access hormones without parental consent.
This undermines both medical ethics and child safeguarding laws.
Conclusion:
The internal communications prove WPATH is not a scientific, evidence-based organization but rather an activist-driven body willing to risk children’s health for ideological goals. The doctors’ own words confirm that puberty blockers, hormones, and surgeries are being promoted without sufficient evidence, while parental rights and safeguarding principles are deliberately undermined.