Position Statement on Gender Surgery for Children and Adolescents (2026)

Other · American Society of Plastic Surgeons / Plastic Surgery Foundation Board of Directors · February 3, 2026

LATEST STATUS: ASPS (representing ~90%+ of U.S. board-certified plastic surgeons) concluded there is insufficient evidence of a favorable risk-benefit ratio for gender-related endocrine and surgical interventions in minors and recommends delaying such surgery until at least age 19; deems WPATH/Endocrine Society/AAP guidance not trustworthy; cites Cass Review and HHS review.

ASPS recommends that surgeons delay gender-related breast/chest, genital, and facial surgery until a patient is at least 19 years old.

LATEST STATUS: ASPS (representing ~90%+ of U.S. board-certified plastic surgeons) concluded there is insufficient evidence of a favorable risk-benefit ratio for gender-related endocrine and surgical interventions in minors and recommends delaying such surgery until at least age 19; deems WPATH/Endocrine Society/AAP guidance not trustworthy; cites Cass Review and HHS review. corroborated by PMC commentary (PMC13258092) and SEGM analysis. A specialty society reviewing interventions its members perform – noted.

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