Trans gender care or mutilations

June 18, 2026

Trans gender care or mutilations

I deal with only facts, I work for a large multinational company in information technology and I have been studying this subject for about five years. I have a special needs child, so when there is an issue related to children, then I am on it like a fly on stink. I don't have the time or money to waste on pushing fallacy, there is already enough of that on social media already. So with the current narratives of trans-gender minors and mutilations, also gender affirming care, what are the real numbers out there coming from institutions that manage that care and also the statistics. The last thing we want to do is put children in harms way by giving them access to a procedure or removing a procedure that will cause undue harm.

At the bottom of this blog I will put a list of references used to make this assessment.

I will preface this by acknowledging that trans-gender minors DO get therapy, they DO get medication and they DO get surgery. This isn't up for discussion – it's a simple known fact.

I guess we need to start with how many trans-gender children there are so that any numbers and percentages make some sense as far as context. If we are causing harm to one child and there are only two children in a category we are running statistics on, well, that is 50% of that population and anyone with any common sense would say, “Hell NO”. I am sure we are agreed on that. So lets gather some baseline populations and then some statistics related to how many children are having what kind of gender affirming care. Then what exactly does that care do.

I will initially show medication based gender affirming care, and then any surgeries that take place.

How is gender affirming care handled …

Gender-affirming care encompasses nonsurgical treatments like mental health care, puberty blockers, hormone therapy, and reproductive counseling, as well as surgical options like “top” or “bottom” surgery. These treatments can be years-long, incremental processes that may only begin with the approval of parents and health care providers. I will go in to the surgical options last as these are few.

Gender-affirming care looks quite different for youth of different ages. Young children – those who have not yet gone through puberty – can’t medically transition. Instead, their transition is entirely social; a gender-expansive child can choose a new name and pronouns, cut their hair, or dress in a different style.

This last sentence is what 99.9% of gender-affirming care is for minors. This apparently is what the powers that be want to stop ? Therapy and social transitioning. So far, seems pretty silly. But, lets move on.

Gender affirming care – medication ...

According to insurance claims data for 5.1 million youth who fell into the 8–17 age bracket at any point between 2018 and 2022 showed that 0.017 percent of youth were coded as trans-gender and received puberty blockers. And just 0.037 percent were trans-gender and accessed hormone therapy.

So lets get that narrowed down in to a yearly value. Each year we code 1,275,000 minors for insurance of some kind. Hormone therapy and puberty blockers are DIFFERENT, but for the sake of argument, we will call BOTH as gender affirming care. So that combined is 0.054% of 1,275,000 population which results in 688 trans-gender minors getting some kind of medication related to care.

The current 8-17 age population of the USA is 43,300,000. If we want to average out per state, there are just 14 that get medicated gender affirming care.

If we look at other mental health affirming care minors receive for lets say, ADHD, then those obtaining medications are 3,400,000. So honestly, knowing my child is on ADHD medication and the absolute reason why, it is still staggering for me to right now, real time writing this seeing this number on medication for ADHD. But, anyway, lets now just compare that a moment, 3,400,000 verses ( 688 x 9 years ( we have approximately 9 years active teens @ 688 a year ) = ) 6,192.

I do know having been dealing with my child for 18 years is that some of these ADHD medications are not without hazards.

What is known about gender affirming care statistically is that 4% of trans-gender children that do NOT receive care are highly likely to attempt to un-alive themselves. So this is a REAL scenario with removing care, 4%. That is potentially 248 children. I hear all the time about people arguing about trans-gender women in sports or even high school trans-gender females being “one is one too many”. We, here we have 248. That is “Two hundred and forty Eight TOO many” to risk the lives of isn't it ?

Well, I think we have settled this debate. Overall, hardly any children are getting medicated care, and it seems 248 would be at risk if not getting it. The question then becomes, why should trans-gender children not get life saving care vs a cancer patient at CHOA or St Jude, or any child getting medication for ADHD or autism. Is it because you personally can accept a cancer ridden child but can't accept a trans-gender person ? That is maybe a discussion you would need to have with yourself in front of your bathroom mirror sometime.

Gender affirming care – surgery ...

According to the national Institute of Health … “Gender-affirming surgeries for minors are exceedingly rare. National studies show that only 0.02% to 0.04% of transgender youth undergo these procedures, at a rate of roughly 2.1 per 100,000. Those who do are almost exclusively older adolescents, aged 15 to 17.”

What does this mean in real terms, well, there are 724,000 estimated trans youth in the US or 3.4%. Splitting the difference at 0.03%, then 217 minors out of that population get some kind of trans-gender affirming surgery.

Again people will say “but 217 is 217 too many”, okay, but if we are having children un-alive themselves due to not getting care, how many of these children will un-alive themselves without surgery ? Remember this surgery is HIGHLY regulated and performed ONLY if deemed ABSOLUTELY NESSECARY.

What exactly is the surgery ?

Well, firstly a Harvard based study in 2024 found that cisgender minors and adults had substantially higher utilization of analogous gender-affirming surgeries than trans-gender youth. Yes that is cosmetic surgery. The numbers available from the American Society of Plastic Surgeons shows about 2,800 breast surgeries for cosmetic reasons, NOT gender-affirming care.

Genital and facial surgeries are generally delayed until patients reach the age of 18. Based on my research, it's nearly IMPOSSIBLE to get ANY surgery under 16 for gender-affirming care, it requires considerable paperwork from medical professionals. As such, this is really limited to 17, 18, 19 year old teens.

IF surgery happens, it is nearly always limited to TOP surgery, I.e, breast augmentation or breast reduction. The federal government requires thoroughly and strictly documented gender dysphoria and other psychiatric evidence.

The only true verified numbers I found from a reliable source was Harvard, there are others by the Journal of the American Medical Association (JAMA) and the medical watchdog group Do No Harm, but those numbers while wildly off from all the known publicly available statistics and percentages available. These were 3,000 and 5,100 respectively.

The Harvard numbers showed and reported in a Reuters review of insurance claims identified at least 776 mastectomies and 56 genital surgeries for patients ages 13 to 17 between 2019 and 2021. That equates to about 257 mastectomies and 18 genital surgeries per year or a total of 275 a year which closely matches my initial finding above of 217. According however to the Human Rights Campaign, during a 4 year study, only 108 PRE-16 year old's received gender affirming surgery, which is only 26 a year. There is a big gap between 26 and 275, but either number is small, and the 108 is co-verified by multiple sources including Harvard school of medicine and the National Institute for Health.

In comparison, there are 3,900,000 life saving surgeries performed on children each year in the US. A trans-gender child deserves a life.

The human rights campaign states that those surgeries are medically necessary to treat severe gender dysphoria. This treatment aims to alleviate intense, persistent psychological distress by aligning a teenager's physical characteristics with their gender identity, which medical organizations correlate with significantly reduced anxiety, depression, and suicidality. Again, this comes back to the same anchor point of trans-gender care – prevention of suicide due to gender dysphoria issues. Also note that this is NOT a mental disorder or mental illness but a condition that a trans-gender person is born with and develops around week 19 gestation due to hormonal in-balances when forming the genitals and brain cortex.

In summary …

Well, there you have it, those are the numbers in black and white, plus the core reasons why. It's to safe lives of children and at a minimum attempt to reduce severe anguish during an already tumultuous time in a child's life.

Calling this “mutilation” is however apparent that anyone using that term simply doesn't understand what is going on with a trans-gender person, and doesn't actually care at all about a child needing the medication or surgical solution.

Like I mentioned previously, it's up to you whether you accept a trans-gender child as needing medical assistance. You don't get to decide however. That regardless of your feelings, this is a life and death situation for hundred of families each year facing this.