Dr. Miriam Grossman Exposes the Medical Scandal Behind Gender Affirming Care for Adolescents
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Dr. Miriam Grossman Exposes the Medical Scandal Behind Gender Affirming Care for Adolescents
Dr. Miriam Grossman, a child psychiatrist and Senior Fellow at Do No Harm, presents a critical examination of gender-affirming care for minors. Through the story of Rosa, a 14-year-old girl who identified as transgender after a breakup and lockdown isolation, Grossman challenges the medical establishment's approach to treating gender dysphoria in young people. She reveals how a single flawed Dutch study from 30 years ago became the foundation for widespread medical interventions, despite lacking proper evidence. Grossman discusses the growing international pushback against these practices, particularly the Cass Report commissioned by Britain's National Health Service, which found no evidence that medical interventions benefit gender-distressed youth. As countries across Europe reconsider their protocols, Grossman calls on American physicians to speak out against what she describes as a medical scandal.
The Story of Rosa: A Case Study in Modern Gender Medicine
Rosa was a smart, happy 14-year-old when she met her first boyfriend. "I found my forever," she told everyone, until he suddenly ended the relationship. Rosa was devastated, and the pandemic lockdowns made things worse. She was isolated in her room all day, surfing the internet.
As the lockdowns dragged on, Rosa became sullen, irritable, and withdrawn. Her tank tops and shorts were replaced by oversized hoodies and baggy sweatpants. One day, Rosa came home with a buzz cut. Shortly after, she declared she was a boy and demanded testosterone.
An Unprecedented Surge in Gender Dysphoria
During Dr. Miriam Grossman's medical training, Rosa's condition—now called gender dysphoria—was so rare she never imagined seeing even one case in her lifetime. But over the past decade, the incidence of gender dysphoria has increased 5,000%.
What changed? Why did Rosa believe she was in the wrong body and that without pharmaceuticals and operations she'd never be happy? Why do the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and many other medical associations claim that Rosa's delusion is normal? Why do they recommend treatment that will disfigure and possibly sterilize her healthy body?
The Unchangeable Reality of Biological Sex
Before answering those questions, Grossman emphasizes what hasn't changed: sex is established at the moment of conception. Sex is permanent. While Rosa's body can be modified, she will never be a boy. Never.
But the medical profession has been hijacked by a political crusade determined to erase the very notion of male and female. Medical associations have become mouthpieces for gender zealots promoting several radical theories:
Individuals construct their own reality—if Rosa feels she's a boy, she is one
Hormones and surgery are the only solutions to gender dysphoria
If Rosa wants to grow a beard and have her breasts removed, she has that fundamental right
The Flawed Foundation of Gender-Affirming Care
These are the premises of so-called gender-affirming care. Proponents claim the approach is evidence-based, but the evidence is flimsy at best. It rests on one small study done in Holland 30 years ago with only 55 subjects.
The primary entry requirement was severe gender distress from early childhood. The subjects were given puberty blockers, opposite-sex hormones, and occasionally surgery. After 18 months, some subjects reported modest improvement. The study had no control group and was never replicated. For those and many other reasons, it's considered seriously flawed and unreliable.
The Dutch protocol was never intended to be the basis for helping all individuals distressed about their sex. But that's what happened. A tiny, defective study became the basis of gender medicine around the world.
A Medical Scandal and Man-Made Catastrophe
This is a medical scandal—a man-made catastrophe that has shattered many lives, not only of young people but of those who love them. Grossman's colleagues, who should be protecting vulnerable kids like Rosa, are complicit in this atrocity. Some by writing prescriptions, others with a scalpel, but the majority by witnessing the evil and remaining silent.
The Cass Report: A Comprehensive Review
But there is reason for hope. The most comprehensive review yet of gender-affirming care was recently commissioned by the National Health Service in Great Britain. Dr. Hilary Cass, former president of Britain's Royal College of Pediatrics, analyzed data from England's Tavistock Gender Clinic, the largest in the world until it was shut down in 2024.
Her report is a scathing indictment of the clinic's practices. She demonstrates there is no evidence medical interventions benefit gender-distressed young people. What the kids need, Dr. Cass concludes, is counseling.
International Reversal of Gender Medicine Protocols
Great Britain, Norway, Finland, Sweden, and Denmark have essentially stopped medical treatment of teens whose bodies are 100% healthy and are focusing on their minds and hearts. The Netherlands, France, and Belgium are not far behind.
In March of 2024, a report in France described sex reassignment in minors as potentially one of the greatest ethical scandals in the history of medicine.
But in the United States and Canada, it's full steam ahead.
A Call to Action for Medical Professionals
How do we stop this runaway train? As a doctor, Grossman puts responsibility on her colleagues:
Do your research—you're not hearing the other side of the debate
Read the Cass Report
Your medical associations have lost their way
Understand this is not about compassion and rights—it's about tyranny
Stand up to the activist bullies
Speak out against the sacrifice of children on the altar of a perverse political agenda
Rosa's Happy Ending
Grossman ends where she began—with Rosa. Her story has a happy ending. Her parents and Grossman pulled her back from the brink. Tragically, many other Rosas have been lost, and many others are still out there. We must save them.
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