From the Daily Caller News Foundation

By MEGAN BROCK AND KATE ANDERSON

The World Professional Association for Transgender Health (WPATH) is the leading authority in the field of gender medicine. Its guidance is routinely used by top medical associations in the U.S. and abroad, while its standards of care inform insurance companies’ approach to coverage policies.

But behind closed doors, top WPATH doctors discussed, and at times seemed to challenge, the organization’s own published guidelines for sex change procedures and acknowledged pushing experimental medical interventions that can have devastating and irreversible complications, according to exclusive footage obtained by the Daily Caller News Foundation.

WPATH published highly influential clinical guidance called “Standards of Care for the Health of Transgender and Gender Diverse People, Version 8” (SOC 8), which recommends the use of invasive medical interventions such as puberty blockers, cross-sex hormones and sex change surgeries, calling them “safe and effective.”

The DCNF filed a series of public records requests to WPATH SOC 8 co-authors who are employed at taxpayer-funded institutions, making their emails subject to open records laws. Buried in more than 100 pages of responsive records from the University of Nevada was a series of emails between prominent WPATH members and leaders, including WPATH Global Education Institute (GEI) Co-Chair Gail Knudson, that were sent in 2022. In one email, Knudson sent a colleague the link to a folder containing nearly 30 hours of recordings from WPATH’s GEI summit in September 2022 in Montreal, Canada, which included sessions on mental health, puberty blockers, cross-sex hormones and sex change surgery.

These sessions provided WPATH members with in-depth education on the clinical application of topics addressed in the SOC 8 treatment guidelines. However, the footage reveals WPATH-affiliated doctors advocating for children to undergo risky sex change procedures and even pushing for these treatments for patients struggling with severe mental health issues. Several sessions were dedicated exclusively to treating children and included recommendations for minors to receive puberty blockers, cross-sex hormones and surgeries.

For instance, WPATH guidance recommends addressing a patient’s mental health issues before giving them sex change medical interventions. However, in one recorded session, a WPATH faculty member and gender doctor claimed that mental health issues don’t necessarily affect a patient’s ability to receive cross-sex hormones.

In another video, a doctor told attendees children should be informed that cross-sex hormones will likely make them infertile but admitted that he will prescribe them anyway if a child says they want the treatment, regardless of the future consequences.

A surgeon euphemistically referred to a phalloplasty procedure, a surgical series that includes obliterating the vaginal cavity and creating a fake penis with harvested tissue, as an “adventure” for young people. He did this despite later admitting that those same procedures will “definitely” have “complications,” such as permanent issues with bladder function and tissue death.

One physician called the entire field of cross-sex hormones “off-label,” referring to the concept of drugs being used for alternative purposes than what they were approved for. The doctor went on to say that female patients might actually appreciate drug side effects that cause them to lose hair, because they’d look “more like men.”

The Food and Drug Administration says that when it approves a drug, healthcare providers generally may prescribe that drug for an unapproved use, or off-label, when “they judge that it is medically appropriate for their patient.”

In several other videos, doctors argued in favor of transitioning patients who experience psychotic episodes. One admitted that some of his patients with schizophrenia have to be careful how much cross-sex hormones they take or they can’t “keep the voices down.”

The DCNF consulted medical professionals from respected organizations, such as Do No Harm, who all argued that the comments from WPATH-affiliated doctors show that the transgender medical industry does not have patients’ best interests at heart.

While the average person, nationally and internationally, likely has never heard of WPATH, the modern medical industry is deeply tied to the organization and relies on it to dictate the standards of care for transgender medicine. WPATH’s guidelines are cited as criteria for obtaining insurance coverage by both private insurance companies and tax-funded insurance plans, positioning them as a lynchpin of the sex reassignment industry.

Additionally, their guidelines help inform policy statements from major medical and professional organizations, such as the American Academy of Pediatrics (AAP), the American Psychological Association and the Endocrine Society. The AAP is currently being sued by Isabelle Ayala, a former patient who was medically transitioned as a child, for allegedly rushing her through sex change medical procedures.

There’s been an explosion in the number of young people, including children, being put on hormones and puberty blockers and getting sex change surgeries, according to a study published in August 2023 by the JAMA Network. This surge has been fueled, in part, by groups like Planned Parenthood, which distributes cross-sex hormones to patients as young as 16. Planned Parenthood saw a roughly 125% jump in the number of transgender services it provided between 2020 and 2022.

Twenty-three states, however, have enacted legislation preventing doctors from performing sex change surgeries on minors amid backlash from concerned parents and doctors who don’t subscribe to the WPATH-endorsed “gender-affirming care” model. Gender-affirming care is another euphemism used by medical professionals to describe the idea that doctors should affirm a patient’s wish to live as the opposite biological sex through social transitioning, hormone therapy and even surgery.

The SOC 8 was released just days ahead of the 2022 symposium and contained several significant changes to how doctors and medical institutions implemented transgender medical treatment. For instance, WPATH removed minimum age requirements criteria that established when a child can or should receive transgender medical services such as puberty blockers, cross-sex hormones, and sex reassignment surgeries.

WPATH’s previous guidelines recommended that hormone therapy be given once a patient was over the age of 16, but the updated version removed this barrier and suggests hormone therapy begin at the first signs of sexual maturity.

The videos obtained by the DCNF give the first glimpse at how doctors and mental health professionals discussed implementing the new guidelines. To highlight the most significant portions of the content obtained in the records requests, the DCNF has decided to publish a series of articles collectively called “The WPATH Tapes.”

Following this release, the DCNF intends to publish all of the videos in their entirety in order to provide the public with necessary information about WPATH’s approach to medical care and shine a light on an influential organization that has largely remained anonymous until now.

The WPATH Tapes Table of Contents:

1. Video Shows Prominent Doctors Acknowledging, And Even Challenging, The Experimental Nature Of Sex Change Drugs
2. Top Psychiatrist Argues Schizophrenic Patients Can Consent To Sex Change Surgeries
3. ‘Keep The Voices Down’: In Unearthed Video, Doctors Discuss Putting Mentally Ill Patients, Including Kids, On Hormones
4. Gender Doctor Calls Genital Surgery An ‘Adventure’ For Young People While Describing Grisly Complications
5. ‘No Idea About Their Fertility’: Gender Doctors Shed Light On Grim Reality Facing Kids Considering Sex Changes
6. Leader Of Gender Medicine Org Says Binary Sex ‘Doesn’t Really Hold True,’ Cheers On ‘Deconstructed’ Biology
7. Private Footage Reveals Leading Medical Org’s Efforts To ‘Normalize’ Gender Ideology

From the Daily Caller News Foundation

By JASON HOPKINS

Panama’s new president-elect is pledging to close a key corridor used by hundreds of thousands of migrants en route to the U.S., but experts and Panamanians aren’t so sure it can be done.

President-elect Jose Raul Mulino handily won the Panamanian presidential election earlier in May, riding a wave of voter discontent over the country’s slow economic growth and an endorsement from a popular former president. The 64-year-old lawyer also campaigned on a pledge to end the illegal immigration that runs through the tiny Central American nation’s Darien gap — but some question the feasibility of that pledge, given the vastness of the jungle, the cartels that populate it and the sheer amount of migrants flowing through it.

“While President Mulino’s promise to close the Darien Gap to migrants appears to be made in good faith, it’s unclear how he could ever actually deliver,” Matt O’Brien, director of investigations for the Immigration Reform Law Institute, said to the Daily Caller News Foundation. “The region consists of thousands of square miles of jungle that are virtually impossible to police.”

“And the gap itself is already home to massive migrant assistance operations that are funded by politically-potent, anti-borders groups from all over the world,” O’Brien added. “None of these organizations are likely to close up shop and go home without a fight.”

The number of illegal immigrants crossing the Darien Gap is incredibly massive — and rising. More than half a million migrants passed through the region in 2023, double the nearly 250,000 that had crossed the year before, according to the Council of Foreign Relations.

“The border of the United States, instead of being in Texas, moved to Panama,” Mulino said on the campaign trail. “We’re going to close the Darien and we’re going to repatriate all these people,” referring to a vast jungle region across Panama and Colombia known as the Darien Gap.

The pledge has received notable coverage from American media, and the Secretary of State’s office made mention of anticipated cooperation on the issue shortly after Mulino’s election victory.

The Darien Gap, however, is roughly 40 miles wide and 100 miles long, with a combination of rainforests and mountains and virtually no government presence, according to the Guardian. Hiking through the region can take days.

The area is also under the de facto authority of drug-trafficking organizations such as the Revolutionary Armed Forces of Colombia (FARC) and the Gulf Clan paramilitary group, according to the Council on Foreign Relations. The groups are known to extort and sexually assault travelers who pass through the region.

The idea of closing off the Darien has long been regarded as too much of a burden to accomplish, given these factors.

“Panama closed their border,” Wisconsin GOP Rep. Tom Tiffany said in 2021 after a trip to the Darien Gap. “But they, in effect, can’t because of the incredible crush of migrants that are coming from all over the world.”

More recently, Juan Pappier, the Americas deputy director at Human Rights Watch, framed Mulino’s promise to close the Darien Gap as “virtually impossible.”

The majority of migrants crossing the Darien Gap are Venezuelan nationals, but people from Ecuador, Haiti and other African and Asian countries also utilize these routes to make it to the U.S. border.

Panamanians have made notice of the enormous flow of migrants crossing their country on a daily basis.

“It’s impossible to not run into a foreigner who is begging for money or puts their child in front of you to beg for money, or sell you chewing gum or candy,” Allan Baitel, a born-and-raised Panamanian citizen, told the DCNF. “We have a lot of individuals who are present on the streets at all times, 24 hours a day with signs asking for help.”

Baitel noted that the government is “doing its best” to mitigate disruptions to daily Panamanian life by getting the migrants off the street and moving them to the border of Costa Rica. While he acknowledged the difficulty in closing up the Darien Gap, he expressed optimism over Mulino’s background.

“It’s going to be very hard to close the gap, very difficult,” he said, noting that Colombia was unlikely to help in the effort. Colombia’s leftist president, Gustavo Petro, has long been hesitant to adopt measures to physically bar migrants from entering the jungle, claiming that a more humanitarian approach should be taken.

“Let me tell you that Mulino’s background is in security,” Baitel said. “He has preparation in having to deal with a lot of these issues, so he may have something up his sleeve.”

Currently, the Panamanian government’s policy has been to immediately bus incoming migrants to the Costa Rican border, allowing them to carry on in their U.S.-bound journey. In a recent radio interview, the incoming president said most would-be migrants would simply not even try to cross Panama once he begins deporting them.

“Because when we start to deport people here in an immediate deportation plan the interest for sneaking through Panama will decrease,” Mulino said in the radio interview. “I assure you they are going to say that going through Panama is not attractive because they are deporting you.”

For many Panamanian citizens, the crisis hasn’t made much of a personal impact on them since the vast majority of the migrants are quickly moving on and out of the country.

“We don’t see that many, no one wants to stay here. They want to get to the shining city on the hill,” said Surse Pierpoint, a third-generation Panamanian who spoke to the DCNF.

Pierpoint said that the topic of immigration doesn’t even crack the “top five” issues that matter to him at the moment. Like many other voters, Pierpoint cited the tough economic times the country has faced and he liked Mulino’s agenda for the private sector.

Panama, once the top performing economy in Latin America, has struggled with credit downgrades, slow economic growth, less foreign direct investment and the closing of a major copper mine. The president-elect campaigned on a pledge to bring life back into the private sector with a pro-market agenda.

As for closing the Darien Gap, Pierpoint has doubts: “I don’t know how he can do that frankly,” he said. “It sounds good, but I don’t see how it’s feasible in the short term.”

While so much attention has been focused on Mulino’s ability to close the migration routes himself, policy experts in Washington, D.C,. and locals in Panama alike also pointed the finger back at the Biden administration. The crisis taking place in this Latin American isthmus, they say, begins and ends at the White House.

“Panama president-elect Jose Mulino’s pledge to close the Darien Gap route that migrants are traversing on their way to the U.S. southern border demonstrates the far-reaching negative consequences of Pres. Biden’s immigration policies,” Eric Ruark, director of research at NumbersUSA, said to the DCNF. “This is a humanitarian crisis entirely of President’ Biden’s making, and Panama is just one of the countries dealing with the fallout.”

“All of this has to do with the United States,” Baitel added. “It will not cease until there’s a very drastic change in the United States.”