Montana Republican Admits Detransition Is Rare, Witness States "0 Of My Patients Regret Transition"

A Montana hearing for Senate Bill 99, a gender affirming care ban for trans youth, featured incredible moments. A therapist, when asked, said "none of my patients regret." A Republican conceded that.

Montana’s House Judiciary Committee met today to hear a bill that would ban gender affirming care for trans youth. Senate bill 99, which passed the Montana Senate previously, bans gender affirming care, explicitly legalizes nonconsensual intersex surgeries on intersex youth, and attacks Medicaid coverage for institutions providing such care. One of the ways that the bill is supported by proponents is through the use of detransitioners, including multiple political detransitioners. The House hearing was filled with expert witnesses, including people like Dr. Anna Peterson, who has treated transgender people for over two decades. When asked how many people she has cared for have regretted their transition, she stated that of the hundreds of patients she has seen, none have expressed regret. Ultimately, this led to Representative Jennifer Carlson (R) admitting that detransition is indeed rare, undercutting a major justification for the bill.

Montana’s bill would ban gender affirming care entirely for trans youth. It states that no person may provide gender affirming surgeries, hormone therapy, or puberty blockers to anyone under 18, in violation with widely accepted standards of care and medical evidence. It removes doctors licenses and even removes their ability to indemnify themselves using malpractice insurance for youth gender affirming care. A severability clause at the end ensures that if parts are found unconstitutional, other parts will remain in effect, indicating proponents of the bill know that it is likely the bill will indeed be found to be unconstitutional:

Severability clause in SB99

In order to argue for this bill, people often point to and raise the fear that those who are transitioning will later come to regret it. We often hear this with respect to outlandishly high detransition rates that are often claimed by proponents of bills like this. In this hearing, they brought forward one detransitioner to make this case - he did so using religious justifications for his detransition, not that unlike the old ex-gay movement.

We know from modern studies that detransition is very rare. In the hearing, multiple witnesses in favor of the bill brought up the much-debunked “80% detransition rate.” This rate is based on decades old data and standards. Much of the data comes from a noted conversion therapist, Ken Zucker, who advised the parents of trans kids to do things such as avoiding “wrongly-gendered toys.” We know from modern studies that the actual detransition rate among trans youth is only 2.5% - and many of these who do detransition do so because of lack of acceptance rather than because they are “not trans.”

It is upon these facts that Representative Zooey Zephyr (D) asked Dr. Anna Peterson, a therapist who has worked with transgender youth for two decades, how many people she has seen who have regretted their transition. Dr. Peterson responded, “I’ve worked for many years with this population. Of the hundreds of people over many years… the incidence of regret in my practice, simply put, is zero. And I work with these kids over time, into adulthood."

See the exchange:

The exchange was enlightening, and it seemed to throw Republican questioners off, who may have intended to rely on high detransition rates to get their point across. Later in the same hearing, Representative Jennifer Carlson (R) brought up detransitioners, but clearly had to adjust her questioning. She stated, “With respect to those who reverse course… go back… which we know is a small number…” and proceeded to ask about the reversibility of the procedures. The moment was significant as it was the first time in the hundreds of hours of legislation I have witnessed where a Republican conceded that point.

It is also notable that in this hearing, there was only a single detransitioner. Many trans people spoke against the bill. If there was an “explosion of detransitioners” as some proponents tried to claim before this exchange, where are they? You might expect that they would out in droves to testify in these hearings, especially if the number is as high as what is commonly cited and the procedures are so damaging. There continues to be no evidence that this is the case.

There were other remarkable moments of questioning, such as when Representative Durham questioned multiple doctors about the use of blood tests to determine someone’s biological sex. When both a psychiatrist and an emergency department doctor both stated that you cannot use blood tests to conclusively determine someone’s biological sex by measuring hormone levels, the Representative seemed to grow dubious, stating that he disagreed. When the crowd shouted, “you’re not a doctor!” he responded, “But I’m married…”

SB99 will come up for executive action in the coming days, and if it is voted out of the committee, it will go to the full Montana House. Should it pass, Montana will become the 10th state to ban gender affirming care fully for trans youth. It is an extreme bill that will harm trans kids in Montana and will usurp parental rights over healthcare decisions. The representatives who are on the fence on this bill should use these lines of questioning and the answers they received to help them realize that this bill does not base itself on scientific fact or any material good for the patient population they seek to legislate.

Disclosure: Representative Zooey Zephyr is the author if this article’s partner.