内部备忘录显示，WPATH领导层承认其针对未成年人的推荐依据“研究存在诸多漏洞”，投诉文件显示
2026年6月21日 美国东部时间早上6:30 / 福克斯新闻
作者：伊莱恩·马伦
库尔特·米切利博士指控，世界跨性别健康专业协会在其青少年性别确认治疗的益处确定性较低且存在重大潜在风险的情况下，仍将其宣传为循证治疗，该组织对此予以否认。
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这个被广泛视为跨性别医疗治疗权威领先机构的组织，正面临美国联邦贸易委员会的指控。后者称，该组织制定的有影响力的未成年人治疗指南，其依据正是其领导层私下承认存在局限和不确定性的证据。
由联邦贸易委员会以及阿拉斯加、爱荷华、内布拉斯加和德克萨斯州总检察长联合在德克萨斯州联邦法院提起的投诉文件，指控世界跨性别健康专业协会（WPATH）制定并推广了医护人员在推荐未成年人使用青春期阻断剂、跨性别激素和变性手术时所依据的指南。
此案可能会决定，影响数千名儿童跨性别治疗的医学指南，究竟是基于确凿证据，还是受政治议程驱动的推测。
联邦贸易委员会主席安德鲁·弗格森表示，此次诉讼属于消费者保护案件，核心在于家庭是否获得了关于这些治疗的风险和益处的完整信息。
联邦贸易委员会起诉世界跨性别健康专业协会，指控该组织就未成年人跨性别医疗治疗误导家长和医生。（盖蒂图片社）
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“儿童，尤其是他们的父母，在决定购买医疗服务时，必须获得完整且真实的信息，”弗格森在一份声明中说道。“几十年来，联邦贸易委员会一直在对那些做出欺骗性且无依据的健康相关声明的实体采取行动。”
此次诉讼的核心指控是，WPATH公开将其《护理标准》描述为基于证据且植根于专家共识，而该组织的部分领导层却私下承认现有证据存在局限性。
投诉文件援引了《护理标准》第8版的主要作者伊莱·科尔曼博士在2023年一份战略备忘录中的表述：“我们所有人都痛苦地意识到，支持我们推荐意见的研究存在诸多漏洞。”
民众手持标语参加佛罗里达医学委员会和佛罗里达骨科医学委员会的联合会议，该会议旨在制定限制佛罗里达州性别确认护理的新指南，2022年11月4日摄。（里卡多·拉米雷斯·布塞达/《奥兰多哨兵报》/论坛新闻服务）
专题文章揭露青少年性别手术的医疗共识正在崩塌
投诉文件还提到了该组织儿童章节的主要作者艾米·蒂舍尔曼博士的言论，她在接受美国国家公共广播电台采访时承认，目前尚无既定的“研究基础”来确定“跨性别青少年”的最佳评估或治疗方案。
联邦监管机构进一步指控，WPATH在2022年版《护理标准》中移除了包括乳房切除术在内的手术的年龄下限，且未提供科学依据。根据投诉文件，内部讨论显示，部分WPATH领导层难以找到支持这一改动的循证理由。
多无 Harm 医疗伦理倡导组织的首席医疗官库尔特·米切利表示，这些指控对该组织指南的制定方式提出了严重质疑。
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“《护理标准》内部存在重大利益冲突，且这些冲突从未被揭露，这正是欺骗行为的一部分，人们担忧WPATH声称儿科医疗变性有科学依据，但实际上并非如此。”
联邦监管机构指控，许多协助起草WPATH指南的临床医生和外科医生，与其所推荐的治疗方法存在财务和职业利益关联。
“WPATH的做法是拉拢那些在推广儿科医疗变性方面有经济利益的人，随后便出台了推动激素、青春期阻断剂和手术的指南，”米切利说道。
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此次诉讼辩称，WPATH的影响力远超其会员范围。该组织的《护理标准》在医学界被广泛引用，并帮助塑造了美国各地的治疗方案、保险覆盖决策和专业指导。
WPATH是内分泌学会广泛使用的《性别烦躁和性别不一致临床实践指南》的联合赞助组织。美国儿童与青少年精神病学会将WPATH和内分泌学会的指南描述为照顾性别烦躁青少年的医护人员所使用的两种最知名的临床指南。
最严重的指控之一是，WPATH将儿科变性手术宣传为“救命”措施，尽管没有足够证据表明此类干预措施能降低自杀风险。
《大西洋月刊》撰稿人承认：进步派在跨性别青少年治疗问题上陷入“错误信息泡沫”
投诉文件援引了一些案例，据称家长在为孩子考虑治疗方案时，被问到“你宁愿有一个活着的女儿，还是一个死去的儿子？”
“当WPATH称这些是救命干预措施时，我们听到医生对家长说‘你宁愿有一个活着的女儿，还是一个死去的儿子？’，我们听到这句话被反复提及，但这完全没有任何证据支持，”米切利说道。
“WPATH声称存在的益处实际上并不存在，”米切利告诉福克斯新闻数字频道。“事实上，这些益处的确定性非常低。”
克洛伊·科尔揭露：未成年时被迫接受变性治疗，家长被告知她“大概率会死”
格雷厄姆·林恩手举写着“不存在跨性别儿童”的标语牌在伦敦威斯敏斯特地方法院外拍照，2025年9月4日摄。（丹·基特伍德/盖蒂图片社）
投诉文件指控，一些接受医疗变性治疗的未成年人出现了长期并发症，包括慢性疼痛、性功能障碍、尿失禁、生育问题、神经损伤和持续的心理困扰。
WPATH周三驳斥了这些指控，称此次诉讼是出于政治动机且在法律上站不住脚。
“这是特朗普政府今年第二次滥用机构职权，干涉美国人寻求和获取应由患者与医生共同决定的医疗保健的权利，”该组织在一份声明中说道。
普里沙·莫斯利：医生为了性别“治疗”拆解了我的身体。现在他们承认这是错的
“50多年来，WPATH一直致力于制定基于既定科学标准、专家共识和以患者为中心价值观的指南。”
米切利表示，此次诉讼应促使依赖WPATH指南的医疗组织展开更广泛的审查。
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“我们需要美国医学协会、内分泌学会、美国儿科学会、美国精神病学协会——不胜枚举——我们需要它们也审视这些证据，而且需要立即行动，”他说道。
“《护理标准》存在严重缺陷，因此造成了相当大的伤害，”米切利继续说道。
伊莱恩·马伦是福克斯新闻数字频道和福克斯商业频道的撰稿人，报道全国政治。
https://www.foxnews.com/video/6398960193112
Trump administration probe could upend widely used transgender youth treatment guidelines
Internal memos show WPATH leaders acknowledged ‘many gaps in research’ behind recommendations for minors, complaint says
June 21, 2026 6:30am EDT / Fox News
By Elaine Mallon
Dr. Kurt Miceli contends the World Professional Association of Transgender Health presented youth gender-transition treatments as evidence-based despite low-certainty benefits and significant potential risks, allegations the organization disputes.
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The organization widely regarded as the leading authority on transgender medical treatment is facing allegations from the Federal Trade Commission that it built influential treatment guidelines for minors on evidence its own leaders privately acknowledged was limited and uncertain.
The complaint, filed in a Texas federal court by the Federal Trade Commission and the attorneys general of Alaska, Iowa, Nebraska and Texas, accuses World Professional Association for Transgender Health (WPATH) of developing and promoting guidance that healthcare providers relied upon when recommending puberty blockers, cross-sex hormones and sex-change procedures for minors.
The case could determine whether the medical guidance that shaped transgender treatment for thousands of children was built on solid evidence or agenda-driven speculation.
FTC Chairman Andrew Ferguson said the lawsuit is a consumer-protection case focused on whether families were properly informed about the risks and benefits of these treatments.
The FTC sued the World Professional Association for Transgender Health, alleging the organization misled parents and doctors about transgender medical treatments for minors.(Getty Images)
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“Children, but especially their parents, must have complete and truthful information when making decisions to purchase medical services,” Ferguson said in a statement. “For decades, the FTC has taken action against entities that make deceptive and unsubstantiated health-related claims.”
At the center of the lawsuit are allegations that WPATH publicly described its Standards of Care as evidence-based and rooted in expert consensus while some of the organization’s own leaders privately acknowledged limitations in the available evidence.
The complaint cites a 2023 strategy memo from Standards of Care 8th edition lead author Dr. Eli Coleman stating that “all of us are painfully aware that there are many gaps in research to back up our recommendations.”
People hold signs during a joint meeting of the Florida Board of Medicine and the Florida Board of Osteopathic Medicine to establish new guidelines limiting gender-affirming care in Florida on Nov. 4, 2022.(Ricardo Ramirez Buxeda/Orlando Sentinel/Tribune News Service)
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It also references comments from Dr. Amy Tishelman, lead author of the organization’s chapter on children, who acknowledged in an NPR interview that there was no established “research basis” for determining the best assessments or treatments for “transgender youth.”
Federal regulators further allege WPATH removed age minimums from its 2022 Standards of Care for procedures including breast removal surgeries without scientific justification. According to the complaint, internal discussions revealed some WPATH leaders struggled to identify evidence-based reasons supporting the change.
Kurt Miceli, chief medical officer for Do No Harm, a medical ethics advocacy organization, said the allegations raise serious questions about how the organization’s guidelines were developed.
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“The conflicts of interest that are within the standards of care are significant, and again, not brought to light, and this is part of that deception, and the concern that WPATH has sort of stated that the science is there behind pediatric medical transition when it is not.”
Federal regulators allege that many of the clinicians and surgeons who helped draft WPATH’s guidelines had financial and professional interests tied to the treatments being recommended.
“What WPATH did was stack the deck with folks who had a financial invested interest in promoting pediatric medical transition, and subsequently you get guidelines that push hormones, puberty blockers, and surgeries,” Miceli said.
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The lawsuit argues WPATH’s influence extends far beyond its membership. Its Standards of Care have been widely cited throughout medicine and have helped shape treatment protocols, insurance coverage decisions and professional guidance across the United States.
WPATH is a co-sponsoring organization of the Endocrine Society’s widely used clinical practice guideline on gender dysphoria and gender incongruence. The American Academy of Child and Adolescent Psychiatry describes WPATH and Endocrine Society guidance as the two most widely known clinical guidelines used by providers caring for youth with gender dysphoria.
Among the most serious allegations are claims that WPATH promoted pediatric transition procedures as “lifesaving” despite insufficient evidence that such interventions reduce suicide risk.
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The complaint cites instances in which parents were allegedly asked whether they would “rather have a live daughter or a dead son” when considering treatment options for their children.
“When WPATH says that these are life-saving interventions, and then we hear physicians tell parents, ‘Would you rather have a dead son or a living daughter?’, and we hear that line repeated, which again is not supported by evidence by any means whatsoever,” Miceli said.
“The benefits that WPATH is claiming are there actually aren’t,” Miceli told Fox News Digital. “In fact, the benefits are a very low certainty.”
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Graham Linehan poses with a placard reading “There’s no such thing as a transgender child” outside Westminster Magistrates Court in London on Sept. 4, 2025.(Dan Kitwood/Getty Images)
The complaint alleges that some minors who underwent medical transition experienced lasting complications, including chronic pain, sexual dysfunction, urinary incontinence, fertility concerns, nerve damage and ongoing psychological distress.
WPATH rejected the allegations Wednesday, calling the lawsuit politically motivated and legally flawed.
“This is the second time this year the Trump Administration has abused the authority of its agencies to interfere with Americans’ rights to seek and obtain the healthcare that should be decided between a patient and their physician,” the organization said in a statement.
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“For more than 50 years, WPATH has been committed to developing guidelines informed by established scientific standards, expert consensus, and patient centered values.”
Miceli said the lawsuit should prompt a broader review by medical organizations that have relied on WPATH’s guidance.
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“We need the American Medical Association, the Endocrine Society, the American Academy of Pediatrics, the American Psychiatric Association—the list goes on—we need them to look at the evidence as well, and they need to do that immediately,” he said.
“The standards of care is terribly flawed, and again it has done considerable harm as a result,” Miceli continued.
Elaine Mallon is a writer for Fox News Digital and Fox Business covering national politics.
https://www.foxnews.com/video/6398960193112
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