The Cass Review, WPATH Files, and the Perpetual Debate over Gender-Affirming Care

Julia Serano
16 min readApr 23, 2024
two children stating at a Newton’s cradle or pendulum — a device that typical sits on desktops, consisting of five metal hanging balls. when one ball is pulled sideways then released, it collides with the other balls, which forces the ball on the other side into motion, thus starting a back-and-forth chain reaction that, while not literally “perpetual,” tends to continue for a very long time.
Photo by Ron Lach at Pexels.com

Eleven months ago, I published Gender-Affirming Care for Trans Youth Is Neither New nor Experimental: A Timeline and Compilation of Studies. The essay documents the long history of gender-affirming care (over 100 years!) and compiles three decades worth of research studies and reviews (over 100 articles!) which together show that gender affirmative…

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Julia Serano

writes about gender, sexuality, social justice, & science. author of Whipping Girl, Excluded, 99 Erics, & her latest: SEXED UP! more at juliaserano.com