al ones, has been the World Professional Association of Transgender Health, or WPATH. This body has been treated, both by professional associations of medics and clinicians and by the media, as if it consisted of experts with the knowledge and training to be able to opine with authority.
But this is simply not the case. Membership of WPATH is not restricted to clinicians: anyone at all can join on payment of a modest fee. Its so-called “standards of care” are in fact no such thing. The various chapters of the current version were produced by subgroups containing many people with no medical or therapeutic qualifications, and without reference to standard medical requirements to weigh evidence properly or consider such matters as patients’ capacity to consent and harmful side-effects of treatment.
WPATH promotes “non-binary” identities — neither male nor female — and experimental surgeries that give people the appearance of having both male and female genitals, or neither. There is no evidence base suggesting that such surgeries are medically necessary or advisable, or even that they make people feel any better. It also claims that boys can be born with a “eunuch” gender identity, and that suitable treatment for such boys might be castration. This shocking statement is similarly unevidenced.
In part simply because of the audacious name of the organisation, which makes it sound authoritative, WPATH has had a remarkable and wholly unwarranted degree of influence. Many medical organisations, both in the UK and elsewhere, proudly state they follow WPATH guidelines and standards of care, as if they were following the guidelines of an appropriately constituted authority (such as NICE).
I and many others have known that this ongoing experiment on gender-distressed children and young people has caused, and is continuing to cause, very considerable damage.
One of the most disturbing aspects of the newly released files is that they suggest some members of WPATH know full well that gender-affirming care is experimental — that they know it sometimes causes very serious harm, and that some patients who received irreversible medical treatments were incapable of giving meaningful consent, whether because of their immaturity, learning difficulties or serious mental illness. I cannot find any sign of this awareness in WPATH’s public pronouncements, nor in those of the most prominent cheerleaders for the gender-affirming care that WPATH so enthusiastically promotes.
I would therefore argue that WPATH shares responsibility for any resulting negligence or malpractice. I do not know how any responsible medical authority can do anything after the release of these files but break off all ties with WPATH, and indeed condemn its continued existence.