Preventing Harms to Children
The Harms Posed by Gender Ideology to Children's Well-being
Gender identity is a psychological experience. It is not a biological reality. A child's sex is determined at conception by chromosomes and reproductive anatomy. It is an innate and immutable characteristic.
When children are taught that they can be born in the wrong body, they are being led to reject observable biological reality. This ideology is now promoted widely through schools, social media, and some medical settings, often without parents' knowledge or consent.
Parents who accept biological truths understand the long-term risks and consequences of sex-rejecting interventions.
The Evidence Against Medical Interventions
Multiple independent government reviews have been completed in the United States and Europe which have examined the evidence for transgender puberty blockers, cross-sex hormones, and surgeries for minors. These reviews consistently found the quality of evidence supporting medical transition to be very low, while credible, reliable evidence demonstrating that such interventions are very harmful is very high.
- The HHS Review (2026) — Comprehensive U.S. review of pediatric gender medicine. Report details available at: Studies | SEGM
- The Cass Review (2024), the most comprehensive independent analysis conducted in England, concluded there is no reliable evidence that puberty blockers improve mental health outcomes. It also documented risks to bone health, fertility, and brain development.
- Sweden's National Board of Health and Welfare (2022) determined that the risks of hormonal interventions for adolescents with gender dysphoria likely outweigh the benefits in most cases. The country now limits these treatments to exceptional circumstances only.
- Finland's Council for Choices in Health Care (COHERE, 2020) issued national guidelines that prioritize thorough mental health assessment and psychosocial support. Medical interventions are restricted to carefully selected cases within research protocols.
These countries changed their approach after systematic evidence reviews showed weak benefits and significant potential harms.
Additional Concerns
Most children and adolescents who experience gender dysphoria have other significant mental health conditions, including autism spectrum disorders, depression, anxiety, and histories of trauma. These are the underlying issues frequently requiring primary attention.
Studies have documented patterns of social influence, particularly among adolescent girls, consistent with rapid-onset gender dysphoria. Long-term follow-up studies show that a substantial portion of children with gender dysphoria naturally resolve their distress when given time and appropriate psychological care — with resolution rates and return to biological acceptance reported between 69% and 98% in multiple studies.
Medical interventions carry permanent and damaging consequences, including infertility, loss of sexual function, loss of bone density, cognitive impairment, and the need for lifelong medical management. In some clinic data, nearly all children started on puberty blockers proceeded to more harmful cross-sex hormones and further invasive interventions.
Sources
- Cass Review. Independent Review of Gender Identity Services for Children and Young People. Final Report. Dr. Hilary Cass. April 2024. cass.independent-review.uk
- Sweden's National Board of Health and Welfare (Socialstyrelsen). Updated national guidelines on care for children and adolescents with gender dysphoria. December 2022. socialstyrelsen.se
- Finland's Council for Choices in Health Care (COHERE). Medical treatment methods for dysphoria associated with variations in gender identity in minors. 2020 guidelines. segm.org (Finnish Guidelines, 2020)
- Steensma, T.D., et al. (2011). Desisting and persisting gender dysphoria after childhood: A qualitative follow-up study. Clinical Child Psychology and Psychiatry. pubmed.ncbi.nlm.nih.gov/21216800
- Steensma, T.D., et al. (2013). Factors associated with desistence and persistence of childhood gender dysphoria. Journal of the American Academy of Child & Adolescent Psychiatry. doi.org/10.1016/j.jaac.2013.03.016
- Singh, D., Bradley, S.J., & Zucker, K.J. (2021). A follow-up study of boys with gender identity disorder. Frontiers in Psychiatry. frontiersin.org
- Littman, L. (2018). Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria. PLOS One. journals.plos.org
- Additional systematic reviews on bone density loss, fertility impacts, cognitive effects, and mental health comorbidities in gender dysphoric youth (as detailed in the Cass Review and European health authority reports). Additional studies and sources are available at: Studies | SEGM