Marci Bowers: W.P.A.T.H

Marci Bowers is a trans-identified male and also a surgeon who performs surgeries on people in flight from their sex which are described as “sexual reassignment surgeries” (SRS). Bowers is now the President of the World Professional Association for Transgender Health (W.P.A.T.H). You may be familiar with Bowers who was one of the surgeons who worked on Jazz Jennings;once the poster child for the marketing of the “trans kid”.

Bowers came to my attention after making this statement 👇 which attracted some backlash from “trans” activists. I find it horrifying that we are still doing this to children despite this being in the public domain.

You can watch Bowers say this here.

Marci Bowers

Let us be reminded of an earlier statement which Susie Green, late of Mermaids, attributes to Marci Bowers:

This is a screen shot from that zoom call on which you can see at least some of the participants; Jo Elsson-Kennedy, Charlene Wong, Dane Whicker, Kiran Sundar, Deanna Adkins, Leigh Spivey-Rita.

Marci Bowersmarried, fathered three children and then went on to “transition” and subsequently began working on “gender affirming” surgeries. The fact Bowers went public with these concerns is a big deal. So, I decided to have a closer look and found a few YouTubes exploring Bower’s beliefs. I found some inconsistencies.

Long term follow up of post-operative “transsexuals” is bedevilled with loss to follow up and the extreme taboo surrounding detransitioners, or those who regret their surgeries. It is,however, perfectly possible Bowers believes this and it is borne out of their own experience. By all accounts Bowers is a skilful surgeon and is perhaps not aware of the wild west of surgeons operating out there, or the lack of gatekeeping. 

The current spike in children and teenagers identifying as “trans” and seeking body modification is unprecedented and a completely different demographic. Notably, in the U.K we have seen over a 4000% spike in girls which has completely inverted the a sex ratio to 75% female. It could take at least ten years before we see the scale of regret. 

Gender non-conformity: Debra Soh.

Is “trans” a trend 👈. You can watch this here. 

This clip is in response to neurobiologist, Debora Soh, who raised concerns about social contagion, high rates of referrals from autistic kids, same sex attracted and kids with previous trauma. Marci Bowers interrupted and tried to speak over Soh but she powered through. As well as accusing Soh of being anti-trans, Bowers pushed back with this statement. Spot the problem?

I don’t want my son to conform to “gender norms” gay boys/young men, are often variant in the way they express their masculinity. I would be heartbroken if he lopped off his long red hair, or stopped baking. I could do with a bit less Mariah Carey but that’s about it. Why does Marci think gender non-conformity demands lifelong dependence on hormones and surgeries? (Soh responds in a similar vein).

My life in “gender affirming” surgeries. 

Marci Bowers 👈 You can watch this here. 

Many of have noticed that trans-ideologues have begun to be more explicit that “transgender medicine” is a cure for “gender non conformity” after spending a long time repudiating this accusation. This despite the evidence of their own propaganda mapping a “gender” spectrum from G.I Joe to Barbie and asking children to choose their place on the scale. There does now seem to be a change of tack to admit this and Bowers says as much in another interview. This is one of Bower’s slides from two months ago. 

In this same presentation Bowers addresses the controversy over comments on puberty blockers, claiming, predictably, it has been “weaponised” by bad faith actors. 

Many of us having been saying , for years, that the use of puberty blockers has been a live experiment, on children. Many “trans” activists use the fact that these drugs were used for cases of precocious puberty to claim there has been fifty years of evidence. The use for the iatrogenic condition of “gender dysphoria” has limited evidence and, what there is, suggests an off label use, on healthy children, may turn out to be a medical atrocity. Here is Bowers using the same trick. 

Here is another quote from Bowers illustrating his perspective on evidence based medicine. The science is only there for a post-hoc justification; not to determine whether this is a good idea in the first place. 

Yet this contrasts with something else said in the same talk; demanding objectivity and repeating concerns about puberty blockers. 👇

It is a good thing that Bowers is speaking up. Speaking charitably, Bowers is not an endocrinologist, and it could be, he was unaware of the stunted genitalia he would be presented with on the operating table. This is one of the tragedies of the whole process. The endocrinologists believe the psychologists, the surgeons trust the endocrinologists all leaving opportunities to dodge responsibility. Then there are the parents who are being told to believe their children and then place their faith in “professionals”. 

My brief benefit of the doubt all but evaporated with this statement. No evaluation and surgeries under age 18! 😳

The question and answer portion was also quite revealing. Asked about regret Bowers had this to say. This is another switch that shows the “trans” ideologues know that there are detransitioners; I noticed about two years ago , this idea of “gender journeys” started to creep in. What happened to believe your kid when they tell you they are trans? It was always contradictory to claim “gender fluidity” was a feature but the “gender journey” seems to have emerged to sanitise regret and detransition. 

Asked about how he deals with the anti-trans backlash Bowers has this to say 👇.

Female Genital Mutilation 

In the same talk Bowers, talks about their work helping women with female genital mutilation. In addition to “transgender” surgeries Bowers also travels to Africa to do reconstructive surgeries for victims of FGM. These women have compromised sexual function too. Given how many lesbians are detransitioners one would think Bowers would make the connection. 👇

In FGM there are also issues of a lack of informed consent. 

Abigail Shrier Interview. 

Bowers also spoke to the author of this book. 

In their discussion Bower’s expressed some concerns about puberty blockers and at least listened to concerns about the rising rates of teenage girls identifying as “trans”. Following the backlash a statement was put out via his website. 

On Abigail Shrier 👈 You can read it here. 

Still expresses concern for the impact on male children which shows some integrity. 

They really do believe they have god on their side. 

If this is Marci Bowers on twitter I have interacted. 

I first published on Bowers when he was president elect of WPATH. I had hope that his presidency would see more caution. The latest statement from WPATH, which I will cover in a later blog, confirms my fear, they are not for turning.

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WPATH on Children


World Professional Association for Transgender Health (WPATH).

Version 8 of the WPATH guidelines (2022). Let’s have a gander at what it says about treating children who we have decided are born in the wrong body. Before we get into the detail meet Amy Tishelman. She authored this chapter and explicitly said it was written in such a way to minimise legal consequences for practitioners. 👇

You can watch this here:

Amy Tishelman

It is also important to listen to Marci Bowers; trans-identified male and a surgeon who performs “gender affirming” operations. Bowers is also the President elect of WPATH. Link below 👇 . Children (males) who have their puberty blocked will have a micro penis and will be unlikely to ever have an orgasm, when they are adults. Bearing in mind puberty can start from age 9, we are expecting these kids to know what they are giving up. Marci still signed off these guidelines.

Marci Bowers

These two contributions set the scene for the guidance on treating children who have been “diagnosed” as “transgender”. WPATH have to make sure that health insurance covers the procedures for which they advocate. At the same time they are keen not to expose practitioners, working in this field, to any legal consequences; particularly in the light of rising rates of detransitioners and the beginning of the first law suits.

This chapter outlines “guidance” for the treatment of pre-pubertal children. In order to legitimise this practice society needs to believe that childhood “gender diversity” has always been a feature of human development. They also need to facilitate access to medical intervention whilst simultaneously de-pathologising it and denying it is a mental illness. Claiming this is a “natural” variation in humans which, only sometimes, requires access to synthetic hormones and surgeries, takes some mental gymnastics. As we will see the author’s of the WPATH guidelines are up to the task.

At the same time WPATH also argue that “diverse gender expression” need not be a sign that someone is “transgender” or even that they are “gender incongruent”.

Any attempt to explore whether “diverse gender expression” is indicative of a “transgender” identity is labelled conversion therapy. It is perfectly clear that the best resolution for any child would be to reconcile to their biological sex/homosexuality and thus avoid a lifetimes dependence on hormones /surgeries. For this “condition” ,and only this condition, the medical profession is exhorted not to attempt curative treatments which, by the way, cuts off a profitable income stream for the pharmaceutical industry. They also assume that any attempts to reconcile a child with their natal sex would comprise “forcing” the child to behave in line with socially mandated expectations for their sex. In fact any decent therapist would explain that it is perfectly possible to be a girl who likes football or a boy who loves The Little Mermaid and would know there is a high chance that, if left alone, a significant proportion would grow up to be healthy gay adults.

This chapter also recognises the high rates of autism in kids who present with “gender dysphoria”. Given the difficulty autistic kids have in picking up social cues and fitting in with social norms, isn’t it more likely that they struggle to fit in with the expectations for their sex because “gendered” behaviour is, to a large degree learned?

The guidelines repeatedly assure parents that the children who thrive are the ones allowed to express their “identity” and that this may mean a social / medical approach. A social “transition” would allow the child to masquerade as the opposite sex amongst their peers, with or without their knowledge. The authors believe that a “gender” identity can emerge even in pre-school children; an assumption which seems to be made on the basis that two/three year olds learn the difference between men and women as well as the socially encouraged /proscribed behaviours for boys/girls.

Social Transition.

The consequences of social transition are dealt with in this article 👇

A childhood cannot be reversed

This seems a workable solution when a child is very young but when puberty arrives the fact that they are not like the other boys/girls becomes distressingly apparent. Making the path to puberty blockers more likely. Joseph/Joanna has not spent these years learning there is no right or wrong way to be a girl/boy but, instead, has spent them denying biological reality.

Practitioners working in this field are encouraged to discuss the advantages, and disadvantages, of a social “transition” but there is no discussion of the issues raised in the above article. In general it is promoted as having a positive impact on mental health. It has also expanded to cover “non-binary” whatever that means.

In this section they do acknowledge the potential impact on sexual function, though it merits much more detail than provided. Practitioners are advised to cover all these issues 👇

Gender Identity Ideologues are keen to warn against using the idea of “gender fluidity” to demure from socially “transitioning” your child.

Pharma funded, Jack Turban, also warns of the harms that may accrue to a child who does not “socially transition”. The non-conforming child may be ostracised or bullied ….so let’s sterilise them! This is so, so, regressive.

Social transition can, they advise, include any of the below actions. Whether or not this is revealed to other pupils/parents is depicted as a matter of choice for the “trans” child which means other children are having their consent, to share mixed sex facilities, overridden. The implications for females are also disregarded; in terms of participation in sport against biological males.


As with the adolescent section WPATH can no longer deny cases of regret and detransition. The reddit detransition page is no approaching 40,000 and when I first starting looking at it there were less than 10,000. Commentators on that forum are openly skeptical about the repeated statistic of a 1% rate of detransition; which WPATH repeat in this section. The points they raise are the unwillingness to notify the clinic who harmed you and also the changing nature of the demographic due to lower/removal of gate keeping.

The figure of 8% is what one study, in the U.K. found even though the way they measured it seemed also destined to underestimate the numbers. I covered that study here.

Detransition: Cambridge Study (2)

Here is a clip from my piece on that study; which raises some of the difficulties with studies in this area. The definition of a “detransitioner” can be narrowed to exclude someone who may have ceased medical intervention but remains in “social role”. This maybe to remain in their “community”, it maybe that a man who is post-operative declines to reintroduce testosterone into his body and therefore remains, technically, a medical “transitioner”. ( I know of one man in this position).

Human Rights /Activism.

The Gender Industrial complex has been very successful at persuading erstwhile Human Rights Organisation to embrace “Transgender Ideology” as if it were a Civil Rights issue. Amnesty International has shown itself willing to be co-opted, as has the ACLU, Liberty and GLAAD and, of course Stonewall. Some adopt a name which suggests they are campaigners for Human Rights when they are anything but 👇. The HRC is the largest LGBTQ+ lobby group.

As this document makes clear Health Care Practitioners are also expected to be (trans) advocates with parents, schools, and the larger community.

Furthermore they are encouraged to get involved politics, education and legally and in the media. Challenging laws and social norms. This is an activists charter and sadly many of our health care “professionals” have responded to this rallying call.

In conclusion WPATH are going full steam ahead irrespective of the increasing research about the harms they are inflicting on our kids. This is a dark time for Gay Rights, Women’s Rights and will be a dark stain on the medical profession.

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WPATH: Guidelines V 8 {1}


World Professional Ass. for Transgender Health.

WPATH set the treatment protocols for “Transgender” health that guide organisations the world over. You can download the full guidance here: 👇

Standards of Care for the Health of Transgender and Gender Diverse People Version 8

The new guidance, published in 2022, adds a section for Eunuchs who are now to be included under the, ever expanding, transgender umbrella.

This organisation is listened to by the U.K. NHS. Those endorsing this guidance include Marci Bowers, President Elect of WPATH, who I wrote about here:

Marci Bowers

This is a reminder of a public statement made by Bowers about the impact of puberty blockers on sexual pleasure. Bowers still signed off this document.

Also signing this off was Diane Ehrensaft. She is infamous for telling parents how pre-verbal babies can signal their “gender”. It might be a girl who tears barrettes out of her hair to tell you she is a boy. Or this example 👇 of a boy who signalled his discomfort with his sex, she claims, by unsnapping his onesie.

Diane Ehrensaft was also associated with the discredited accusations of ritual, satanic abuse back in the 1980’s/1990’s. You can find a lot of her presentations on YouTube. This is another example of her magical thinking. This woman is taken seriously. 😳.

In the U.K the guidance is endorsed by the Nottingham “Transgender” clinic and the local University, Medical school.

Chapter 1 covers terminology and settles on “Transgender” and “Gender Diverse” but makes it clear these were not uncontroversial choices and notes that other cultures may use different terms; a theme expanded on in Chapter 2. Estimates of the “transgender” population are covered in the third Chapter recognising there are higher numbers selecting a “gender diverse” identity in the younger population; hardly a surprise since they have had gender identity ideology rammed down their throats for up to a decade. Chapter 4 is a long winded reminder to #EducateYourself in which they exhort govt. bodies, healthcare providers etc to learn about the “transgender population”.


I am going to skip over what they have to say about assessing adults and go straight to Chapter 6 and assessment of adolescents. They note the spike in teenage referrals and the over-representation of females and they are still describing puberty blockers as “fully reversible

At the same time they are keen to point out that a natural puberty is “irreversible” leaving lasting changes to the body. One of those changes, for male children, is penile growth, those who have puberty blocked will have stunted genitalia and, as a result, operations to mimic female genitalia will be much more problematic.

WPATH contradict themselves numerous times in this chapter. Here 👇 they talk of the dangers of “extended” pubertal suppression and potential impact on neurodevelopment. This calls into question WPATH’s own claim that they are “fully reversible”. They recommend against prolonged useage. Predictably, they use this “danger” to argue for the earlier introduction of cross sex hormones.

They also recognise that brain maturation continues into the mid 20’s ; which concerns those of us who have children who embarked on these drugs in their late teens.

It is worth quoting the factors, listed below, in teenagers who embark on irreversible changes to their bodies. Increased risk taking, a sense of urgency, peer pressure all raised as potential influences with adolescents embarking on “gender affirming” treatments.

The authors do at least reference Lisa Littman’s research on Rapid Onset Gender Dysphoria but cast doubt on its validity for these reasons: 👇. A biased sample drawn from parents skeptical about “affirmation” as a protocol.


Littman also undertook some work on detransition which I cover below: 👇

Littman and Detransition

WPATH admit there is a dearth of follow up studies on youth transitioners especially any that track them up until adulthood. 👇 A systematic review is therefore not possible. Remember we have been doing this for 25 years!

They then quote the “only” study to follow into children into adulthood but note this is only from 13 to 20 years old, right before brain maturation, which is expected to continue to around age 25. This is a study 👇 is from 2014. We are now in 2022!

They also cover another study and the author has accused them, publicly, of misrepresented their work. He believes that detransition is underestimated, contrary to the claims made by WPATH.

Because the phenomenon is now undeniable they do cover detransition. In this survey 25% had detransitioned before age 25.

You can read my series on detransition here 👇


Despite concern that there is a social contagion element to kids identifying as “gender diverse” the authors continue to push for promotion of “transgender” identities as a simple variation in nature that has existed since the beginning of civilisation. Certainly there have always been people who struggled to live within, rigidly enforced, sex stereotypes, many of whom were simply gay/lesbian. Claiming there have always been “trans” people on the back of gender non-conforming homosexuals is blatant propaganda. The existence of synthetic sex identities emerged only in the last century.

Plus ca Change.

This is the long list of demands WPATH issue which are all likely to continue the “social contagion” by promoting the idea that “gender identity” is real and a more meaningful category than biological sex. All this will do is continue to encourage excessive rumination and a search for meaning under the ever expanding list of “gender identities”.

Number 11 is an instruction to make toilets mixed sex, once again disregarding the need, especially for females, for sex separated facilities. A major impediment to the spread of this ideology would be the removal of any such incentives. It cannot be good for your mental health to hand your sense of self over to other people’s presumed perception of you as male or female. This need for validation of your identity drives ever more authoritarian moves to force society to collude with this most basic of untruths. This creates a false of reality and a danger of it all crashing down when the compulsion to believe your “gender identity” is non-existent.

Emotional Blackmail of parents.

They continue with a long list of adverse consequences, including suicide, for parents who don’t express 100% support for the synthetic sex identity. Parents are to be force-teamed into agreeing with the medicalisation of their children and even used to justify earlier surgeries on the grounds they can help with “post-operative” care. This is also used to justify earlier surgeries.

And heaven forfend you suggest that reconciling to your biological sex /sexuality is the healthier outcome. That would be “Conversion Therapy”. 👇 I cannot think of any other “condition” where doctors are actively discouraged from trying to avoid a life times dependence on drugs.

Breast binding and Tucking.

Instead WPATH recommend the promotion of breast binding and tucking male genitalia, despite the health risks.

Here is a list of side effects from using breast binders:

For tucking a significant risk is testicular torsion. 👇 Sounds a bit grim.


There is clearly no appetite for addressing the concerns raised by rising rates of detransitioners and WPATH have opted to include these surgeries for under 18’s. Here are their recommendations. They list includes orchiectomy, vaginaplasty, hysterectomy, facial feminisation surgery and phalloplasty.

Phalloplasty is included even though, elsewhere, they recommend against it, for under 18’s because of the high rate of complications.

There is some quoted research on orgasmic potential for those undertaking a “vaginaplasty” which claims 84% will be able to achieve orgasm. Which means 16% will not and, crucially, they do not include figures on what point the males had their puberty suppressed. This means they are not presenting any data allowing us to extrapolate orgasmic potential for those who have had puberty suppressed from a young age.

Despite this the document pushes for earlier “Gender Affirming Health Care” (GAHT) for under 16’s including double mastectomies for minors.

Human Rights Groups

We must never forget that all of this is advocated by, formerly respected, human rights organisations. Amnesty International is one such and they are also quoted in this document. This Mengele medicine would never have reached this stage without putative claims this is a new Civil Rights cause.

I will do a series and cover the other chapters. Next up the section on children.

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Researching the history and the present of the “transgender” movement and the harm it is wreaking on our society.