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Health

THE WPATH TAPES: Behind-The-Scenes Recordings Reveal What Top Gender Doctors Really Think About Sex Change Procedures

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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

Health

Canadians diagnosed with cancer in ER struggle to receive treatment as Liberals keep pushing MAiD

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From LifeSiteNews

By Clare Marie Merkowsky

A study reveals Ontario emergency rooms struggle to manage cancer diagnoses, leaving patients without adequate follow-up care, while euthanasia remains readily available.

Research has found that Canadians diagnosed with cancer in the emergency room are often sent home without treatment; however, euthanasia remains readily available.

According to a study published September 8 by the National Library of Medicine, Ontario emergency room doctors are struggling to serve patients diagnosed with cancer while Liberals continue to push Medical Assistance in Dying (MAiD).

“It’s kind of a little bit shocking to me that given how many people cancer affects and how devastating a diagnosis it can be to receive, that we haven’t figured this out better,” one doctor told researchers.

The study found that limited primary care access, specialist shortages, and long wait times have pushed patients to seek care from the emergency room. As a result, emergency doctors are giving out cancer diagnoses but are unable to provide sufficient follow up care. “We don’t often have enough information to know further what that means, in terms of prognosis, in terms of the type of treatments that they’re going to get,” another doctor revealed. “Then, to also add on the burden and say, ‘I also don’t know when you’re going to be seen’ is just a gut punch for them.”

According to the study, poor communication between EDs, primary care, and specialists often results in “lost” patients who are either delayed or prevented from receiving the proper care. Doctors called for standardized referral pathways, patient navigators, and better support to ensure timely follow-up.

The study discovered that the lack of timely care has resulted in “higher stages of diagnosis and increased mortality.”

At the same time, Liberals are focusing on expanding MAiD rather than addressing the medical staff shortage crises. In February 2024 after pushback from pro-life, medical, and mental health groups as well as most of Canada’s provinces, the federal government delayed the mental illness expansion until 2027. Liberals are also working to expand MAiD to children.

The most recent reports show that MAiD is the sixth highest cause of death in Canada. However, it was not listed as such in Statistics Canada’s top 10 leading causes of death from 2019 to 2022.

Asked why MAiD was left off the list, the agency said that it records the illnesses that led Canadians to choose to end their lives via euthanasia, not the actual cause of death, as the primary cause of death.

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Health

MAiD should not be a response to depression

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This article supplied by Troy Media.

Troy MediaBy Daniel Zekveld

Canadians need real mental health support, not state-sanctioned suicide

If the law Parliament plans to roll out in 2027 had been on the books 15 years ago, Member of Parliament Andrew Lawton says he’d probably be dead. He’s not exaggerating. He’s referring to Canada’s scheduled expansion of medical assistance in dying (MAiD) to include people suffering only from mental illness.

Lawton, who survived a suicide attempt during a period of deep depression, knows what’s at stake. So do others who’ve shared similar stories. What they needed back then wasn’t a government-approved exit plan. They needed care, time, and something MAiD quietly discards: the possibility of recovery.

MAiD, medical assistance in dying, was legalized in Canada in 2016 for people with grievous and irremediable physical conditions. The 2027 expansion would, for the first time, allow people to request MAiD solely on the basis of a mental illness, even if they have no physical illness or terminal condition.

With the expansion now delayed to March 2027, Parliament will once again have to decide whether it wants to cross this particular moral threshold. Although the legislation was passed in 2021, it has never come into force. First pushed back to 2024, then to 2027, it remains stalled, not because of foot-dragging, but due to intense medical, ethical and public concern.

Parliament should scrap the expansion altogether.

A 2023 repeal attempt came surprisingly close—just 17 votes short, at 167 to 150. That’s despite unanimous support from Conservative, NDP and Green MPs. You read that right: all three parties, often at each other’s throats, agreed that death should not be an option handed out for depression.

Their concern wasn’t just ethical, it was practical. The core issues remain unresolved. There’s no consensus on whether mental illness is ever truly irremediable—whether it can be cured, improved or even reliably assessed as hopeless. Ask 10 psychiatrists and you’ll get 12 opinions. Recovery isn’t rare. But authorizing MAiD sends the opposite message: that some people’s pain is permanent, and the only answer is to make it stop—permanently.

Meanwhile, access to real mental health care is sorely lacking. A 2023 Angus Reid Institute poll found 40 per cent of Canadians who needed treatment faced barriers getting it. Half of Canadians said they outright oppose the expansion. Another 21 per cent weren’t sure—perhaps assuming Canada wouldn’t actually go through with something so dystopian. But 82 per cent agreed on one thing: don’t even think about expanding MAiD before fixing the mental health system.

That disconnect between what people need and what they’re being offered leads to a more profound contradiction. Canada spends millions promoting suicide prevention. There are hotlines, campaigns and mental health initiatives. Offering MAiD to people in crisis sends a radically different message: suicide prevention ends where bureaucracy begins.

Even Quebec, normally Canada’s most enthusiastic adopter of progressive policy experiments, has drawn the line. The province has said mental disorders don’t qualify for MAiD, period. Most provincial premiers and health ministers have called for an indefinite delay.

Internationally, the United Nations Committee on the Rights of Persons with Disabilities has condemned Canada’s approach and urged the government not to proceed. Taken together, the message is clear: both at home and abroad, there’s serious alarm over where this policy leads.

With mounting opposition and the deadline for implementation approaching in 2027, Parliament will again revisit the issue this fall.

A private member’s bill from MP Tamara Jansen, Bill C-218, which seeks to repeal the 2027 expansion clause, will bring the issue back to the floor for debate.

Her speech introducing the bill asked MPs to imagine someone’s child, broken by job loss or heartbreak, reaching a dark place. “Imagine they feel a loss so deep they are convinced the world would be better off without them,” she said. “Our society could end a person’s life solely for a mental health challenge.”

That isn’t compassion. That’s surrender.

Expanding MAiD to mental illness risks turning a temporary crisis into a permanent decision. It treats pain as untreatable, despair as destiny, and bureaucracy as wisdom. It signals to the vulnerable that Canada is no longer offering help—just a final form to sign.

Parliament still has time to reverse course. It should reject the expansion, reinvest in suicide prevention and reassert that mental suffering deserves treatment—not a state-sanctioned exit.

Daniel Zekveld is a Policy Analyst with the Association for Reformed Political Action (ARPA) Canada.

Explore more on Euthanasia, Assisted suicide, Mental health, Human Rights, Ethics

Troy Media empowers Canadian community news outlets by providing independent, insightful analysis and commentary. Our mission is to support local media in helping Canadians stay informed and engaged by delivering reliable content that strengthens community connections and deepens understanding across the country.

 

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