The nation's largest professional organization for plastic surgeons recommended that gender-affirming surgeries be delayed until patients turn 19, changing the group's stance on the politically charged issue and diverging from several other major medical organizations' guidance.
The American Society of Plastic Surgeons said Tuesday that it found “insufficient evidence” that the benefits of chest, genital and facial surgeries on minors experiencing gender dysphoria outweigh the risks. It leaned on two recent and heavily debated publications on the topic, the Cass Review by a senior doctor in England and a 2025 report issued by the U.S. Department of Health and Human Services.
“This position statement doesn't seek to deny or minimize the reality of any patient's distress, and it does not question the authenticity of any patient's experience,” the position statement reads. “Instead, ASPS affirms that truly humane, ethical, and just care, particularly for children and adolescents, must balance compassion with scientific rigor, developmental considerations and concern for long-term welfare.”
