The question of whether it is okay to perform gender-affirming surgery on children is a complex and controversial topic that is still debated by medical professionals, ethicists, and advocates. While there is no easy answer, here are some things to consider:


Age and maturity

Generally, medical guidelines recommend that gender-affirming surgeries should not be performed on minors who are under 18 years of age, unless they have undergone extensive psychological and medical evaluations and have the ability to give informed consent. Some medical professionals believe that children and adolescents are not mature enough to make such a life-altering decision, while others argue that delaying surgery can cause significant harm to a child’s mental health and well-being.

Health risks

As with any surgical procedure, there are potential risks and complications associated with gender-affirming surgeries. Some procedures may have long-term implications for a child’s physical health, such as infertility or complications with hormone therapy. These risks should be thoroughly considered and weighed against the potential benefits.

Support and resources

Gender-affirming surgeries should not be seen as a standalone solution for children struggling with gender dysphoria. It is important that children have access to comprehensive and supportive care, including therapy, hormone therapy, and social support. Surgery should only be considered as part of a larger treatment plan that is tailored to the individual needs of the child.

Legal and ethical considerations

The legality and ethics of performing gender-affirming surgery on minors vary by country and jurisdiction. In some places, it may be illegal or unethical to perform these surgeries on children, while in other places, it may be allowed or even encouraged.


Ultimately, the decision of whether to perform gender-affirming surgery on a child should be made on a case-by-case basis, with the input and support of medical professionals, parents or guardians, and the child themselves (if they are old enough to provide informed consent). It is important to prioritize the well-being and best interests of the child, while also considering the potential risks and benefits of surgery.

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