Professionals on Gender

Statement from the American Academy of Pediatrics and the Oklahoma Chapter of the American Academy of Pediatrics on Gender-Affirming Care released 9/28/2022.

American Academy of Pediatrics

Parenting a Gender-Diverse Child:   Hard Questions Answered

AAP Publications on Gender Affirming Care

Gender Identity 5 Years After Social Transition - A study where researchers found that most children who transition socially at a young age maintain that transition.  "These results suggest that retransitions are infrequent. More commonly, transgender youth who socially transitioned at early ages continued to identify that way. Nonetheless, understanding retransitions is crucial for clinicians and families to help make retransitions as smooth as possible for youth."

Mental Health Outcomes and Receipt of Gender-affirming Care - A study where researchers observed a 60% decrease in depression and a 73% decrease in suicidality after 12 months of care in a gender clinic. "Given this population's high rates of adverse mental health outcomes, including suicidality, this data provides critical evidence that expansion of access to gender affirming care will save lives."

Statement from the American Medical Association to the National Governors Association:  "We believe it is inappropriate and harmful for any state to legislatively dictate that certain transition-related services are never appropriate and limit the range of options physicians and families may consider when making decisions for pediatric patients."

American Medical Association

What to know about gender-affirming care for younger patients - An education session, “Issues of ethical importance: Health care for pediatric LGBTQ+ patients,” was recorded for the November 2021 AMA Section Meetings and answers questions for medical students on what gender affirming care involves.

Preventing suicide in LGBTQ youth

For transgender kids, gender-affirming names can be lifesaving

Understanding the short-term impact of gender-affirming care

"Medical intervention for transgender youth and adults (including puberty suppression, hormone therapy and medically indicated surgery) is effective, relatively safe (when appropriately monitored), and has been established as the standard of care."

The Endocrine Society

Transgender Research and Medicine - All publications by the Endocrine Society

Endocrine News Archive - Archive of all articles on Transgender Health published in Endocrine News.

Endocrine Treatment of Transsexual Persons:  An Endocrine Society Clinical Practice Guideline (pdf)    Published in June, 2009, this lengthy set of protocols for the treatment of transgender persons is the current standard for use by endocrinologists in the U.S. Archived in the Practitioners and the Parents Resources sections of this website.

"The American Academy of Child and Adolescent Psychiatry (AACAP) supports the use of current evidence-based clinical care with minors."

American Academy of Child and Adolescent Psychiatry 

Transgender & Gender Diverse Youth - A Facts for Families Resource on how to respond when raising a gender diverse child.

Clinical Guidelines Training for Providers, Professionals, & Trainees - A collection of the evidence and professional guidelines followed by members of the AACAP.


"Due to the dynamic nature of puberty development, lack of gender-affirming interventions (i.e. social, psychological, and medical) is not a neutral decision; youth often experience worsening dysphoria and negative impact on mental health as the incongruent and unwanted puberty progresses."

American Psychological Association 

What is Gender Dysphoria? 

Answers to Your Questions About Transgender People, Gender Identity, & Gender Expression - (2014) Written for families.

Study Finds Long-Term Mental Health Benefits of Gender-Affirming Surgery for Transgender Individuals (2019) "The study found the odds of receiving mental health treatment were reduced by 8% for every year since receiving gender-affirming surgery over the 10-year follow-up period."


"WPATH, ASIAPATH, EPATH, PATHA, and USPATH believe that children and young people can have agency and can express their gender identity, and that the best course of action is to work collaboratively with the child or young person and family to support the TGD person (Coleman et al., 2022)."

World Professional Association for Transgender Health

Standards of Care 8 - The full text of Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

International Journal of Transgender Health - WPATH's professional publication, link to current issue.

WPATH responds to NYT article “They Paused Puberty, But Is There a Cost?” published on November 14, 2022

USPATH Statement on Legislative & Executive Actions Regarding the Medical Care of Transgender Youth - In this position statement, profesionals who study gender affirming care state that decisions regarding that care should involve physicians, care providers, parents and patients and follow guidelines from organizations like the Endocrine Society and WPATH with support from the AAP, AMA, APA, AACAP.  They take the time to answer specific points brought up by legislative bodies and discuss how that research actually informs care guidelines.

Other Informative Publications

Clinical management of gender identity disorder in adolescents (PDF)   The European Journal of Endocrinology published a protocol on psychological and paediatric endocrinology aspects — Treatment outcome in transsexuals is expected to be more favourable when puberty is suppressed than when treatment is started after Tanner stage 4 or 5.


To the beat of a different drummer: The gender-variant child (pdf)    Published in Contemporary Pediatrics by Ellen C. Perrin, MD, Edgardo J. Menvielle, MD, Catherine Tuerk, MA, RN 


Smith & Tanagho's General Urology 18th ed - Chapter 43 discusses normal development in utero and disorders of sex development.  If you don't have a basic understanding of human anatomy and the variations that exist, it can be hard to have an intelligent discussion about sex, gender, and affirming care. 


The Myth That Fuels the Panic Over Surgery for Trans Teenagers - Slate Medical Examiner Article on the actual process trans patients go through to get gender affirming surgery.    “The conversation about trans kids right now is fundamentally broken. Because it is led, by and large, by cis people, it focuses on the potential regret children and adolescents might have after transitioning, and ignores the social, physical, emotional, and psychological costs of not transitioning,” Vox staff writer Emily St. James wrote in a recent article. “It ignores the reams of studies that underline the need to support trans kids. It ignores the lived experiences of many trans people, who despair that they were kept from transitioning as youths.”


KFF/The Washington Post Trans Survey - a 2023 survey of transgender adults that addresses about topics from life satisfaction to discrimination to when they knew they were trans.  The report includes quotes from the respondents and some key take-aways that help describe the trans experience in America, including the finding that 2/3 of respondents understood they were trans before the age of 18.

Fact Sheet

Detailed Report

Top Line & Methodology


Articles from The Washington Post’s about the survey:

Most trans adults say transitioning made them more satisfied with their lives, March 23, 2023.

Voices of trans people in America, March 23, 2023.

6 key takeaways from the Post-KFF survey of transgender Americans, March 23, 2023.

For trans people, medical visits can be more traumatizing than healing, March 24, 2023.



Interviews with Professionals

PBS Vitals asks doctors what they think about gender affirming care for youth.  Great discussion of what affirming care is, what is being debated by physicians, and what is being debated by lawmakers.

PBS interviews Dr. Meredithe McNamara, assistant professor of pediatrics at Yale School of Medicine about gender affirming care.

Katie Couric interviews Dr. Joshua Safer and Dr. Marci Bowers during at dinner at the 2022 Aspen Ideas Festival.

The Univsersity of Washington studied transgender youth and found gender affirming care decreased depression and suicidality.

Dr. Jean Amoura is a gender medicine specialits at Nebraska Medicine and talks about the basics of gender affirming care.