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.

You can support my work here. All contributions gratefully received. Or consider a paid subscription to my substack.

My substack

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