WPATH Standards

[AbbyNormal (imported)]

I was recently conversing with a non-binary friend. They present outwardly as male but have had surgery to achieve female genitals & breasts. When I asked them how this had been achieved in light of the standards of care, they said that their surgeon subscribed to the new WPATH Standards that did not place any prerequisites beyond informed consent for any kind of treatment. Their surgeon had requested that they visit a counselor to help them be sure hat they indeed wanted to go forward with this irreversible surgery, but did not require it. From what they said, this applies to everything from hormone treatment and breast implants to on-demand orchiectomy as well. I've included the link to the standards document below Has anyone else heard anything about/experienced this?

https://www.wpath.org/publications/soc

[daifu-orchid (imported)]

I posted something about his recently, from Thailand.

[Losethem (imported)]

I can most certainly assure you what you were told is not the case. WPATH has no set standard of care for individuals who are male, wish to remain outwardly male, but undergo full surgical GRS.

That said, such things are being worked on for the next update (the SOC version 8, you posted a link to SOC version 7), but at this point some physicians are treating and providing surgery to men under the diagnosis 302.6 - Unspecified Gender Dysphoria. That is the diagnosis I received ahead of my surgeon agreeing to remove my penis and scrotum.

[Begoneboy (imported)]

Oh how much easier it was for me in the 90`s. I just went to a country where money could buy what you wanted. And so it came to be.

This world has always been controlled by religion, and/or money. Lets not continue allowing those religious viewpoints to get in the way of happiness.

And to those many who will comment it is the medical community standards. Where do you think those standards came from. Medicine began with religious

outreach. Let's face it, even in this modern era of time the vast majority of medical centers were founded by religious organizations. It is at the core of modern

medicine.

[daifu-orchid (imported)]

....

. Let's face it, even in this modern era of time the vast majority of medical centers were founded by religious organizations. It is at the core of modern

medicine.

Observant as ever, BGB has something here, but the Professions -medical, legal, religious are structured, regulated and governed by huge peer pressure. I suspect that a doc who insists on documented standards that he can cover his ass with, is doing mostly just that. I'd like to think it's all for my benefit, but maybe only partly.

Such is the jungle of professional survival vs the regular guy just trying to lose his own nuts, of his own careful choosing?

[AbbyNormal (imported)]

Oh how much easier it was for me in the 90`s. I just went to a country where money could buy what you wanted. And so it came to be.

This world has always been controlled by religion, and/or money. Lets not continue allowing those religious viewpoints to get in the way of happiness.

And to those many who will comment it is the medical community standards. Where do you think those standards came from. Medicine began with religious

outreach. Let's face it, even in this modern era of time the vast majority of medical centers were founded by religious organizations. It is at the core of modern

medicine.

I wonder if religion is still such a strong driving force within the modern medical community. It would seem to me that fear of litigation would be a stronger motivator for such strict adherence to standards. That way, if sued, a doctor could simply state "I was following prevailing medical standards of care"... Doctors aren't in the game for altruistic fulfillment that often any more. Income rules the game!

Also, having worked in the healthcare industry, I can say that since the Affordable Care Act, there's been concrete regimens of care defined for each given ICD-10 diagnosis code and physicians who stray from them need to go to extraordinary ends to be reimbursed for treatment from the insurers.

On the WPATH question, I've seen far more clinics in the Seattle area advertising that they operate on a basis of informed consent alone. For example, here is a provider that claims:

Like many other experienced practitioners in our area, we follow the "Informed Consent Model." We have found that our clients are well versed on gender issues and therapies, and therefore no longer hold rigidly to the requirement of a therapist's letter.

From: http://queenannemedicalassociates.com/transgender-care (just the first that popped up on google)