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The most common gender affirming surgery is breast augmentation -- in cis (non-trans) women. The regret rate is around 20%. Gender affirming surgeries in trans people have around a 1% regret rate. Guess which people need approval from a mental health provider... 50 comments
 @joelle the same people that get denied surgery as minors when the other ones don't...    @doxy_cycling @joelle it's almost miraculous. In general, gender affirming care has really low regret rate, compared to *any* medical procedures. People are happy with the results, unlike e.g. patient satisfaction with their knee or hip surgeries! Regret is a rare unicorn. And what little there exists, is usually caused by peer rejection and social condemnation. https://arthroplasty.biomedcentral.com/articles/10.1186/s42836-019-0007-3 @doxy_cycling @joelle source for the last claim, in Finnish: https://www.laakarilehti.fi/tieteessa/katsausartikkeli/sukupuolenkorjauksen-katuminen-pettymys-ja-takaisinkorjautumisen-mahdollisuudet/?public=0bde07ccf0cc6ea29e43d09cb3bfdc8d And the original article: Landen M ym. Factors predictive of regret in sex reassignment. Acta Psychiatr Scand 1998;97:284–9. @joelle  A perfect example of how delusion turns off the brain. It is precisely because there is psychological assistance before gender affirming surgery that holds the number of people who regret their decision afterwards low. Because those who would regret it are selected through psychological care beforehand. Beside of this: plastic surgery is promoted by social media. Hence, after a few years more people regret it because they succumbed to a hype. "Gender affirming surgeries in trans people have around a 1% regret rate. Guess which people need approval from a mental health provider..." That might suggest requiring such approval is quite effective in lowering the regret rate...🤔  @joelle I wonder what the regret rate for those with tonsillitis who undergo a tonsillectomy would be. My guess is the regret rate for those with tonsillitis that don't have a tonsillectomy would be zero as they'd all be dead. @britishtechguru Tonsillitis is not usually fatal. Tonsillectomy is done to improve quality of life, not to keep someone alive, generally. That said, looks like it has about a 7% regret rate. But even surgeries everyone agrees are done to keep someone alive, like cancer surgeries, have a significantly higher regret rate than the gender reassignement surgeries. @joelle I had a tonsillectomy at 7 years old. Adenoids too. No regrets. Haven't felt the need for a sex change op but I bet there are plenty doctors who'd do one without enforcing a psychiatric evaluation. @britishtechguru You’re right, there is. They do genital sex reassignments on intersex infants. And, yes, there is a high regret rate in those infants when they grow up — unlike adults that have surgery or even kids who receive puberty blockers. I’ll note the infant surgeries on intersex kids are not banned in any USA state (or elsewhere in the world). @joelle The number of hermaphrodites or intersex babies born is an extreme minority. In my 56 years on this planet I have met just one. @britishtechguru I’ve met dozens (that I know of — most people don’t talk about thie reproductive organs and/or chromosomes and/or hormone sensitivities in random conversation!) and am married to one. But the size of that minority is irrelevant, the point is that there is an entirely different standard applied to trans people — because of moral disapproval.  @britishtechguru @joelle we should not commit the error of romanticising the East. The hijras in India are a mix of trans, eunuchs, and intersex individuals and are very low on their social ladder and subject to abuse. Both the west and the east have their own issues with gender discrimination. Also: Most of the west cares little about the bible nowadays, I know it might be a surprise to the US and a few other countries that we don't even care about the religion of our politicians. @ncrav @britishtechguru I do agree we shoudln't romanticize or exoticize the east, but a major reason that the hijras have low social status is due to the legacy of European colonization. @joelle @britishtechguru yes the colonization didn't help but all those centuries (millennia perhaps) of caste systems didn't exactly help as well. Anyone can cut off a baby boy's foreskin. Don't even need to be a doctor. That's how little value we invest as a society in the rights of children, and how hypocritical cisgender people are. @travellovewine Unfortunately the ones I’ve seen only apply to trans people. Unnecessary genital surgeries on infants for intersex conditions are fine under these laws, as are cosmetic breast surgeries for non-trans people (including kids — which does happen, as about 5,000 cis people under 18 have breast augmentation a year, and some number [not sure how many] have breast reduction as well). It’s only trans peoples’ medical decisions that are criminalized.  @joelle @travellovewine It pisses me off how few news outlets report this fact. Like, if you only read the reports from major "journalists," you'd think there are specific medical procedures that are "new, dangerous, and untested" that Republicans are banning. But really they are banning old and well-understood treatments ONLY for trans people and explicitly allowing the same treatments for cis people.  @travellovewine many of the laws are written explicitly to make sure it is still legal for 16 year old cis girls to have breast augmentations @joelle  @joelle the people who are trying to deny the existence of trans people only care if the man approves of a cis woman's boob job @metodrybar @joelle Breast augmentation is reversible, whether it's done for a cis person or a trans person. I know cis women who got mastectomies and then breast augmentation a few weeks later, covered by insurance both times (usually as a treatment for breast cancer, in which case it's also followed up by an anti-estrogen, the same drug that politicians call "puberty blockers.") On the other hand, I was a toddler when I got my adenoids removed. That IS irreversible. @joelle I wonder if we banned ALL gender affirming surgeries including breast implants in cis women, how fast would the patriarchy reverse course when the old thirsty white dudes realized that it affected them... I'm of course being cynical here, and do not in any way support banning any form of gender affirming anything. @joelle the study suggests that the mental approval process is beneficial, because there is a low regret rate. They say: > We believe this study corroborates the improvements made in regard to selection criteria for GAS. So the low regret rate is the effect of the selection criteria. One can discuss about how to determine if the selection filter is too much stringent, but not that it is not useful. @mzan We see basically no change in regret between the incredibly difficult standards imposed on trans people in the 50s and 60s and the current standards which are much looser. We've known trans people present the story the gatekeepers want to hear, to access medical care. That was true in the 1950s and is true now. Yet despite this, the regret rate remains nearly zero. I'm also unaware of any studies actually looking at whether gatekeeping lowers regret (Bostos, et al, 2021 didn't). @mzan The authors note that selection criteria have improved (I.E. gotten loser) for GAS. They didn't actually study that though, it's conjecture. They also didn't compare not having the psychological gatekeeping with having it (if they think the modern standards are better, then what about even loser ones? They don't know because they didn't study it).  @joelle I’d have guessed circumcision is the most common gender affirming surgery, but only in minors. |
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@joelle It's pure evil