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Extra: Why More Doctors Are Speaking Out Against Gender Surgeries for Minors

Feb 14, 2026
Dr. Sheila Nazarian, plastic surgeon and Netflix’s Skin Decision alum, discusses updated surgical guidance for minors. She focuses on lack of long-term data, irreversible harms, and professional risks of speaking out. Short sentences highlight concerns about hormones, informed consent, and the need for rigorous evidence. The conversation centers on when and how surgery should be studied before being offered to young people.
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INSIGHT

Majority Of Surgeons Oppose Surgery For Minors

  • Sheila Nazarian says most plastic surgeons oppose gender surgeries for minors because procedures are irreversible and evidence is lacking.
  • She links high rates of concurrent mental illness and natural resolution of dysphoria in many youth to caution against surgery.
INSIGHT

Long-Term Benefit Not Shown

  • Nazarian says long-term studies show no sustained benefit from these surgeries and warn against promising suicide prevention without evidence.
  • She argues informed consent should state there is no long-term proof benefits outweigh harms.
ANECDOTE

Parent Told Surgery Or Suicide

  • Nazarian recounts a parent told surgery was the only way to prevent their child's suicide, a claim she says lacks supporting data.
  • She uses this story to illustrate failures of true informed consent.
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