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Joseph Figliolia /

Gender Medicine’s Incoherent Standards of Care

The foundation of pediatric gender interventions is a subjective morass.
Illustration by Noah Hickey/The Dispatch (Photos via Getty Images).
Illustration by Noah Hickey/The Dispatch (Photos via Getty Images).

In recent weeks, the support beams propping up the field of pediatric gender medicine have begun to show signs of critical failure. In early February, journalist Ben Ryan broke the news about the first-of-its-kind payout to a detransitioner, Fox Varian, who was awarded $2 million in damages by a New York jury after undergoing a double mastectomy as a 16-year-old—despite a complex psychiatric profile, troubling family history, and indicators of broader identity instability.

Joseph Figliolia is a policy analyst at the Manhattan Institute, where he researches and writes about gender medicine.

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