A bombshell report released by the U.S. Department of Health and Human Services (HHS) confirms what critics have warned for years: the chemical and surgical alteration of children under the banner of “gender-affirming care” was never rooted in sound science.

The 409-page document, titled Treatment of Pediatric Gender Dysphoria: A Review of the Evidence, reviews decades of research and concludes that puberty blockers, cross-sex hormones, and irreversible surgeries lack sufficient evidence to justify their use on minors.

“There is no reliable evidence from these reviews to suggest that medical and surgical interventions improve mental health outcomes,” the report states. Despite years of promotion by ideological activists in medicine, HHS found that the supposed mental health benefits often used to justify transitioning children are not backed by rigorous data.

“Most studies are case series or small observational designs,” the report explains, adding that “with limited or no comparator groups, and thus are unable to isolate the effects of surgery from prior medical or psychosocial interventions.”

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The report recommends a dramatic shift in how children suffering from gender dysphoria are treated — away from drugs and surgery, and toward traditional mental health support.

“Psychotherapy is a noninvasive alternative to endocrine and surgical interventions for the treatment of pediatric gender dysphoria. Systematic reviews of evidence have found no evidence of adverse effects of psychotherapy in this context.”

“The strongest available evidence does not support the use of puberty blockers, hormones, or surgeries as a first-line treatment.”

The Dallas Express has consistently reported on the rise of radical interventions on minors — often with lifelong consequences like infertility, loss of sexual function, and deepened mental health struggles.

This HHS report echoes what parents, whistleblowers, and rational professionals have been saying for years but were often silenced for: these children needed therapy, not scalpels.

As state legislators in Texas and across the country push for restrictions on these procedures, the HHS report provides much-needed federal validation for what they’ve argued: safeguarding children from experimental treatments is not bigotry — it’s common sense.