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Florida Guidance on Gender Dysphoria Care

The Florida Department of Health released guidance recommending against certain treatments for gender dysphoria in children and adolescents due to a lack of evidence and high risks of long-term harm. The Agency for Health Care Administration conducted a review and concluded the medical literature provides insufficient evidence that sex reassignment through medical interventions is safe and effective. The State Surgeon General encourages the Florida Board of Medicine to review the Agency's findings and establish a standard of care for these complex and irreversible procedures.

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Anthony Talcott
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0% found this document useful (0 votes)
5K views1 page

Florida Guidance on Gender Dysphoria Care

The Florida Department of Health released guidance recommending against certain treatments for gender dysphoria in children and adolescents due to a lack of evidence and high risks of long-term harm. The Agency for Health Care Administration conducted a review and concluded the medical literature provides insufficient evidence that sex reassignment through medical interventions is safe and effective. The State Surgeon General encourages the Florida Board of Medicine to review the Agency's findings and establish a standard of care for these complex and irreversible procedures.

Uploaded by

Anthony Talcott
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We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Ron DeSantis

Mission: Governor
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts. Joseph A. Ladapo, MD, PhD
State Surgeon General

Vision: To be the Healthiest State in the Nation

June 2, 2022

Florida Board of Medicine


4052 Bald Cypress Way Bin C-03
Tallahassee, FL 32399-3253

Members of the Board,

On April 20, 2022, the Florida Department of Health (Department) released guidance on the
treatment of gender dysphoria for children and adolescents. As State Surgeon General, I
recommended against certain pharmaceutical, non-pharmaceutical, and surgical treatments for
gender dysphoria. The recommendations are based on a lack of conclusive evidence and the
high risk for long-term, irreversible harms from these treatments.

Since then, the Agency for Health Care Administration (Agency) has conducted a full review to
determine if these treatments are “consistent with generally accepted professional medical
standards (GAPMS) and not experimental or investigational.” The Agency’s review included an
overview of systematic reviews on puberty blockers, cross-sex hormones, surgeries, or a
combination of interventions.

While some professional organizations, such as the American Academy of Pediatrics and the
Endocrine Society, recommend these treatments for “gender affirming” care, the scientific
evidence supporting these complex medical interventions is extraordinarily weak. For instance,
the overview conducted by Dr. Brignardello-Peterson and Dr. Wiercioch states that “there is
great uncertainty about the effects of puberty blockers, cross-sex hormones, and surgeries in
young people with gender dysphoria.”

The current standards set by numerous professional organizations appear to follow a preferred
political ideology instead of the highest level of generally accepted medical science. Florida
must do more to protect children from politics-based medicine. Otherwise, children and
adolescents in our state will continue to face a substantial risk of long-term harm.

The Agency ultimately concluded that “Available medical literature provides insufficient evidence
that sex reassignment through medical interventions is a safe and effective treatment for gender
dysphoria.” I encourage the Board to review the Agency’s findings and the Department’s
guidance to establish a standard of care for these complex and irreversible procedures.

Sincerely,

Joseph A. Ladapo, MD, PhD


State Surgeon General

Florida Department of Health


Office of the State Surgeon General
4052 Bald Cypress Way, Bin A-00 • Tallahassee, FL 32399-1701
PHONE: 850/245-4210 • FAX: 850/922-9453
[Link]

Common questions

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The Florida Department of Health's vision is "to be the Healthiest State in the Nation." Their approach to gender dysphoria, which involves questioning the efficacy and safety of certain treatments, aligns with this vision by prioritizing the well-being and long-term health of children through cautious, evidence-based healthcare practices. The emphasis on avoiding potential long-term harms and rejecting treatments that lack solid evidence reflects a commitment to health outcomes that prioritize safety and health over unverified or politically motivated medical interventions .

Uncertainty about the effects of treatments such as puberty blockers, cross-sex hormones, and surgeries plays a pivotal role in the Florida Department of Health's guidance. This uncertainty is highlighted as a critical factor in the Department's recommendations against these treatments, emphasizing the potential for irreversible and long-term harms in the absence of conclusive supportive evidence. The guidance suggests that this uncertainty justifies further scrutiny and caution in adopting such interventions for minors, thus supporting the need for a more conservative approach to treating gender dysphoria in young people .

The guidance from the Florida Department of Health reflects its broader public health mission of protecting and improving the health of the population by advocating for healthcare decisions based on robust scientific evidence. By recommending against treatments for gender dysphoria that lack conclusive safety and efficacy proofs, the Department aims to prevent potential harm to children, thus safeguarding their health in line with the broader mission of promoting safe and effective healthcare practices statewide .

The guidance challenges generally accepted medical practices by questioning the scientific validity and long-term safety of treatments typically endorsed by professional organizations such as the American Academy of Pediatrics and the Endocrine Society. It argues that these treatments may be more in line with political ideologies rather than strong scientific evidence, thus posing significant risks. By doing so, it calls for a reassessment and potential tightening of the criteria and standards for treating gender dysphoria, privileging a science-driven approach over current frameworks that are perceived as politically motivated .

The long-term consequences of the Florida Department of Health's guidance could result in a significant reduction of access to certain medical treatments for gender dysphoria in minors, potentially influencing other states to reconsider their policies. This guidance might lead healthcare providers to adopt more conservative approaches due to fear of legal or professional repercussions. It could also shift public perception and influence future legislative actions at both state and national levels. Additionally, the emphasis on science-based, less politically influenced healthcare could foster debates on the integrity of medical guidelines and their alignment with scientifically validated practices over ideological inclinations .

The Department's guidance challenging the current treatment recommendations for gender dysphoria potentially prompts a reevaluation of what constitutes accepted professional medical standards in Florida. By questioning the evidential basis and safety of treatments like puberty blockers and sex reassignment surgeries, the guidance could lead to stricter scrutiny and possibly a redefinition of standards that prioritize comprehensive, evidence-based research. This influence may encourage a move towards more cautious, scientifically validated healthcare practices within the state, aligning medical standards more closely with their evaluative scrutiny rather than prevailing national or international norms .

The Agency for Health Care Administration's review critiques the influence of political ideologies in shaping medical standards, suggesting that current guidelines set by various professional organizations may align more with political preferences rather than the highest level of medical science. The review warns that these politically influenced practices introduce a significant risk of long-term harm to children by deviating from evidence-based medicine, implying the need for more scientifically justified standards .

The Agency for Health Care Administration concluded that the available medical literature provides insufficient evidence to support the safety and efficacy of medical interventions for sex reassignment as treatments for gender dysphoria. This stance reflects a more conservative approach compared to other professional organizations, like the American Academy of Pediatrics and the Endocrine Society, which recommend these treatments as part of 'gender affirming' care. The Agency emphasizes the weakness of the scientific evidence supporting these interventions, thereby differing from other organizations that endorse these practices .

The Florida Department of Health's primary concerns regarding the treatment of gender dysphoria in children and adolescents include the lack of conclusive evidence supporting the efficacy and safety of treatments such as puberty blockers, cross-sex hormones, and surgeries. These concerns are amplified by the perceived high risk of long-term, irreversible harms associated with such treatments. Furthermore, the Department critiques that certain professional standards may prioritize political ideologies over the highest levels of accepted medical science, potentially leading to substantial risks for children and adolescents sourcing from politics-based medicine .

The Florida Department of Health's stance of advising against certain treatments for gender dysphoria due to a perceived lack of conclusive evidence and potential irreversible harm could lead to stricter regulations and guidelines for healthcare providers within the state. This might involve establishing a standard of care that heavily restricts or discourages the use of puberty blockers, cross-sex hormones, and surgeries for minors in Florida, potentially affecting access to these treatments and prompting state-level healthcare policies that prioritize caution over current professional standards recommended by other medical bodies .

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