I've got to agree with Spivak that this feels a bit like fearmongering. Assuming this person transitioned in the 1990s based on age, the standards of care were.

I've got to agree with Spivak that this feels a bit like fearmongering. Assuming this person transitioned in the 1990s based on age, the standards of care were... problematic. This probably would have been the Harry Benjamin Standards of Care, 1990 edition[0], which I will link, but I can't really stomach trying to read/summarize. The fact is the regret rate for gender affirming surgeries less than 2% [1]. Absolutely heartbreaking for those it happens to, but hip replacements have a significantly higher regret rate. As to this article in particular, I will note: * Most of the health risks associated with taking supplemental estrogen are specific to the oral route. Transdermal (gel or patches), injected, or subcutaneous pellet implants avoid the risks of blood clots and stroke. * There is likely nothing stopping the author from taking supplemental testosterone in addition to, or instead of, estrogen. For context, I'm a transgender non-binary person in my 30s. I started transitioning a few years ago, and had non-conforming gender affirming surgery this past September. If anyone is interested in details, I've written about it elsewhere[2]. To my knowledge, I am the only person publicly out about having had that particular procedure done. Under the medical standards of care prior to WPATH v7 (2012)[3], I would have been denied care unless I did a lot of lying and performative gender things that I would have found distressing at best. There are still major issues with the standards of care, but they've definitely improved. While I've had some post op complications that I'm not happy about (which aren't my surgeon's fault), I have every reason to believe that they're fixable, and if I had to make the choice over again, I'd have still done it. My HRT includes a combination of estrogen, progesterone, and testosterone. I've largely been able pick which primary and secondary sexual characteristics I want for my body. My appearance these days frequently leaves people unsure of my gender, which I find affirming. 0. http://www.genderpsychology.org/transsexual/hbsoc_1990.html http://www.genderpsychology.org/transsexual/hbsoc_1990.html 1. https://journals.lww.com/prsgo/fulltext/2021/03000/regret_after_gender_affirmation_surgery__a.22.aspx https://journals.lww.com/prsgo/fulltext/2021/03000/regret_af... 2. https://rya.nc/private/transition.html https://rya.nc/private/transition.html 3. https://www.wpath.org/media/cms/Documents/SOC%20v7/SOC%20V7_English.pdf https://www.wpath.org/media/cms/Documents/SOC%20v7/SOC%20V7_...