American Academy Of Pediatrics Sticks To Democrat Script On Trans Surgeries For Minors

While other major medical organizations are backing away from their support of damaging transgender procedures for minors, the American Academy of Pediatrics (AAP) is doubling down on so-called trans care.

The AAP, which represents tens of thousands of professionals in pediatric medicine, said on Wednesday that its support of trans procedures for minors remains unchanged.

“The guidance from the American Academy of Pediatrics for health care for young people with gender dysphoria does not include a blanket recommendation for surgery for minors,” AAP President Dr. Andrew Racine said in a statement.

“The A.A.P. continues to hold to the principle that patients, their families and their physicians — not politicians — should be the ones to make decisions together about what care is best for them,” he added.

AAP publications still claim that puberty blockers are “reversible” and cross-sex hormones are “partially reversible.” Gender surgeries for minors, including so-called “top” and “bottom” surgeries and facial surgeries, are still recommended for minors on a “case by case basis.”

“Top” surgeries involve the removal of the healthy breasts of young girls, and “bottom” surgeries are performed on the genitals or reproductive organs of both sexes.

Back in June, the AAP similarly reaffirmed its commitment to trans surgeries, balking at a U.S. Supreme Court decision that effectively allows for states to ban trans procedures on minors.

The Supreme Court’s decision today does not change the science. Gender-affirming care remains evidence-based, medically necessary care that improves the health and well-being of transgender youth. Learn more: https://t.co/YxmqZFGTnN pic.twitter.com/fcSYK46hEj

— American Academy of Pediatrics (@AmerAcadPeds) June 18, 2025

Elected Democrats, too, are generally on board with trans procedures for minors.

In October, far-Left Rep. Alexandria Ocasio-Cortez (D-NY), for example, expressed support for so-called trans youth in reaction to a question about GOP-backed bills banning trans surgeries for minors.

“I want to say that I know this time is completely terrifying for so many people, and it feels hard to know where your place is, and especially in politics, where it feels like people in both parties are blaming you for everything that’s happening, I just want you to know that they couldn’t be more wrong,” AOC said.

Failed presidential candidate Kamala Harris, Rep. Sarah McBride (D-DE), Rep. Jerry Nadler (D-NY), Rep. Pramila Jayapal (D-WA), NYC Mayor Zohran Mamdani, and Sen. Mazie Hirono (D-HI) are other notable figures in the party who support such measures.

Conversely, both the American Society of Plastic Surgeons (ASPS) and the American Medical Association (AMA) — which wields major influence as the nation’s largest medical association — have backed away from their support of such trans procedures on minors.

As highlighted by The Daily Wire, ASPS released a statement on Tuesday that said available evidence does not support genital procedures or removing the breasts of young girls who identify as boys. The ASPS also said there was “insufficient” support for placing kids on puberty blockers and cross-sex hormones.

The AMA then followed. In a statement to National Review, the AMA said “the evidence for gender-affirming surgical intervention in minors is insufficient for us to make a definitive statement,” adding that it “agrees” with the American Society of Plastic Surgeons (ASPS) “that surgical interventions in minors should be generally deferred to adulthood.”

The AMA added that it supports “evidence-based treatment,” including other types of so-called gender-affirming care for minors.

The timing of the shifts is incredibly notable. Just last week, a young woman was awarded a $2 million judgment in her lawsuit against the medical professionals who advanced and performed the removal of her healthy breasts at just 16 years old as part of transgender “treatment” for the teen, who at the time was suffering from a series of mental health issues.

There are still more than two dozen detransitioner cases pending, and many medical professionals and legal experts expect favorable verdicts for those who were mutilated in the name of “transgender care.”

Related: Another Major Medical Group Reverses Course On Trans Surgeries For Minors