The Truth About Regret Rates and Gender-Affirming Surgeries
In the ongoing debate about gender-affirming care, detractors often claim that transgender individuals frequently regret their surgeries. This myth has been a staple argument against providing necessary healthcare to both transgender youths and adults. Yet, a new, rigorous systematic review from The American Journal of Surgery counters these allegations with strong evidence.
Study Findings: Understanding Regret Rates
This detailed review, conducted by specialists at the University of Wisconsin School of Medicine and Public Health, analyzed over 55 studies concerning regret rates related to transgender surgeries. The conclusion is clear: the incidence of regret following gender-affirming surgeries is extremely low, under 1%. This is in sharp contrast to higher regret rates observed in other surgeries and major life decisions.
For example, procedures such as tubal sterilization and facial rejuvenation exhibit regret rates that often surpass 10%, significantly higher than those for gender-affirming surgeries. Comparatively, decisions like marriage and parenting show regret rates of 31% and 13%, respectively, which are substantially greater than those reported for transgender surgeries.
The Misuse of Regret in Anti-Transgender Arguments
The misuse of regret in efforts to curtail transgender healthcare is concerning. Prominent discussions, like those stemming from the Cass Review in England, and narratives in major publications, emphasize regret to justify severe restrictions on transgender care. These actions mislead public perception and inhibit transgender individuals from making informed decisions about their health and lives.
Critique of Policies and Public Perceptions
The review critically addresses these manipulative tactics, arguing that the minimal rates of regret should not be cause for alarm or a reason to deny access to surgery for transgender individuals. It highlights the inconsistency in the regulation and discussion of medical procedures, noting a double standard in how gender-affirming surgeries are treated compared to other medical interventions.
Supporting Data from Other Research
This systematic review is further supported by findings from the 2022 U.S. Transgender Survey and a comprehensive review by Cornell University, which collectively affirm that regret in transgender care is exceedingly rare and that such care markedly improves the well-being of transgender individuals.
Valuing Trans Autonomy and Well-being
The erroneous belief that transgender individuals' happiness and satisfaction are "suspicious" or unreliable is not just baseless but deeply disrespectful. It disregards the autonomy of transgender people and overlooks the comprehensive, multidisciplinary process involved in making decisions about gender-affirming surgeries.
Ultimately, the narrative that transgender individuals frequently regret their care has been thoroughly discredited. Evidence firmly shows that gender-affirming care is not only sought after but essential for the health and happiness of transgender people. Policies and public opinions must align with these realities to ensure that transgender individuals have access to the healthcare they rightfully deserve.
