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Update: I incorrectly linked to a 2021 study instead of the 2024 review in an earlier version of this article. The new link is correct.

https://www.americanjournalofsurgery.com/article/S0002-9610(24)00238-1/abstract

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"Trans people are too damn happy, it's suspicious!"... like really?

Sometimes I think people hate us because we figured out how to live our lives, honestly be ourselves, and still manage to be happy even when large pockets of society are against us.

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Of course, this finding will not be surprising to anyone on this readership. GAC is evidence-based, and has the solid backing of major medical organizations. It’s also similar to many other life decisions in that people based their subsequent life paths on those decisions, and as such, aren’t inclined toward regret.

But that won’t stop the anti-trans zealots. No reasoning or medical evidence will. That’s because their motive isn’t to weigh the medical evidence, it’s to eliminate trans people from participating in society and living their lives humanely. In a way, I wish we could eliminate the term “transphobic” and replace it with “trans hatred”. The suffix “phobia” suggests fear, and there is no fear here really, just bigotry and hatred - a desire to demean and savage trans people in any way they can. It is remarkable and sickening how intensely politicized this has become.

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"Rate of regret after GAS is approximately 1%. ...having children ... ha(s) a regret rate of 7%!!!!

And the people restricting affirming care for trans people are the same people banning abortions. Nothing like trying to make the rest of the country as miserable as yourself ("if I'm going to make myself miserable miming all of this pathetic christo-fascist BS, I'll be damned if I'm going to leave other people to simply enjoy their lives!")?

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This paper "GAC isn't wrong, it's literally the approach to everything else that's wrong."

Transphobes be like "no regret can't be that low, impossible, regret is so high for everything else and it's the only experience I've ever had"

Us "have you considered maybe this can be better for everyone?"

Them "No if it's not shit we need to ban it, you must suffer like us"

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I really give a lot of effort to confronting misinformation. I see if I can get the contact information of the publications that printed it. It is especially nice when I read lies about regret, and there is an opportunity to give comments.

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I'm glad this exists, and it's definitely going in my "well, 𝘢𝘤𝘵𝘶𝘢𝘭𝘭𝘺" arsenal; it's sure to be of help with people who actually want to understand and simply lack good information... but unfortunately there is no evidence, of any level of quality, no matter how reputable the source, that devout transphobes won't dismiss out of hand then turn right back around and try to legislate us out of existence anyway.

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founding

But presumably this is all “low quality” evidence, so when Cass 2.0 reviews adult trans health care it will be systematically ignored 😡

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FYI - for those who care about this sort of thing, the American Journal of Surgery has a respectable impact factor of approx. 3.0. Not JAMA level but right along side most similar specialized journals.

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founding

What other surgeries involve the careful consideration and consultation with at least three doctors of different specialties. Why not give the cosmetic surgery industry as much scrutiny.

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This review doesn't just provide evidence, it provides a narrative. It re-takes the term regret - humanizes it and places it in context as a normal element of life. Situating regret after trans-affirming surgery within this broad empirical frame is powerful and empowering. Narrative power coupled with evidence. Yes - this builds solidarity.

Empirically driven narrative power, ethically responsible solidarity power, these things together are critical ingredients to building responsible political power. This is a good morning, thank you, Erin.

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Would it be considered 'regret' if I really wish that I'd had a full depth vaginoplasty for my bottom surgery instead of a (shallow depth) vulvoplasty?

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How come the beginning read like only trans women were considered? Never ceases to amaze me how people treat trans men like they're invisible. Because of that, I didn't read everything I could've. But, I did see in the references that somebody talked about us. Perhaps we were part of the study.

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