A review of 60 studies of the mental health of transgender-identifying youth found that “there is no long-term evidence that current ‘gender affirming’ medication and surgical protocols benefit their mental well-being,” according to a group representing pediatricians.

The American College of Pediatricians issued a position statement on Wednesday opposing the gender transitioning of youth based on the literature review. It comes just after a watchdog group filed a scientific integrity complaint against Department of Health and Human Services official Rachel Levine for claiming that “there is no argument among medical professionals regarding “the value and the importance of gender-affirming care.”

HHS provided only two pages to support the idea that the gender transitioning of children was “necessary.” Levine, a man who believes he is a woman, has often dodged the question by saying that “accredited medical professional groups agree that gender-affirming care is medically necessary.”

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The American College of Pediatricians is a small group of pediatricians, many of them conservative, that formed in part due to dismay over the way that the much larger pediatrics group, the American Association of Pediatrics, passes activist statements that are then used as if they represent the views of all pediatricians, even though only a handful were involved.

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