Newly leaked files from within the leading global transgender healthcare body have revealed that the clinicians who shape how “gender medicine” is regulated and practiced around the world consistently violate medical ethics and informed consent. 

The leaked files from the internal messaging forum of the World Professional Association for Transgender Health (WPATH) were published this week by the US-based think tank Environmental Progress.

WPATH is considered the leading global scientific and medical authority on “gender medicine,” and in recent decades, its “standards of care” have guided the policies and practices of governments, medical associations, public health systems and private clinics across the world.

However, Environmental Progress claims that leaked files reveal that WPATH does not meet the standards of evidence-based medicine, and members frequently discuss improvising treatments as they go along. Members are fully aware that children and adolescents cannot comprehend the lifelong consequences of “gender-affirming care,” and in some cases, due to poor health literacy, neither can their parents. 

“The WPATH Files show that what is called ‘gender medicine’ is neither science nor medicine,” said Michael Shellenberger, founder of Environmental Progress. “The experiments are not randomized, double-blind, or controlled. It’s not medicine since the first rule is to do no harm. And that requires informed consent.”

Some of the discussion appears very disturbing. Members appear to ignore long-term patient outcomes despite being aware of the debilitating and potentially fatal side effects of cross-sex hormones and other treatments. Messages in the files show that patients with severe mental health issues, such as schizophrenia and dissociative identity disorder, and other vulnerabilities such as homelessness, are being allowed to consent to hormonal and surgical interventions. 

Members dismiss concerns about these patients and characterize efforts to protect them as unnecessary “gatekeeping.”

The leaked files provide clear evidence that doctors and therapists are aware they are offering minors life-changing treatments they cannot fully understand. WPATH members know that puberty blockers, hormones, and surgeries will cause infertility and other complications, including cancer and pelvic floor dysfunction. Yet they consider life-altering medical interventions for young patients, including vaginoplasty for a 14-year-old and hormones for a developmentally delayed 13-year-old. 

The WPATH Files also show how far medical experiments in gender medicine have gone, with discussions about surgeons performing “nullification” and other extreme body modification procedures to create body types that do not exist in nature.  

A growing number of medical and psychiatric professionals say the promotion of pseudoscientific surgical and hormonal experiments is a global medical scandal that compares to major incidents of medical malpractice in history, such as lobotomies and ovariotomies.

A section in the report on medical ethics is particularly damning about the notion of autonomy. “In the past, the emphasis on autonomy in medical ethics was meant to act as a shield: there were things a doctor could not do to you without your consent,” says the report. “Nowadays, and especially in gender medicine, autonomy acts as a sword: in its name, there is nothing a doctor may deny you.”

The ”Trans Leaks” have not been reported yet by any major newspapers apart from The Telegraph (London) and Canada’s National Post. Dr Marci Bowers, the president of WPATH, issued a statement in which she contended that trans medicine is scientific and that sceptics aren’t:

“WPATH is and has always been a science- and evidence-based organization whose recommendations are widely endorsed by major medical organizations around the world. We are the professionals who best know the medical needs of trans and gender diverse individuals-and stand opposed to individuals who misrepresent and de-legitimize the diverse identities and complex needs of this population through scare tactics.”

The raw files have been published in a report called The WPATH Files: Pseudoscientific surgical and hormonal experiments on children, adolescents, and vulnerable adults. Journalist Mia Hughes puts the WPATH Files in the context of the best available science on gender distress.