Seattle Children’s offered “gender” surgery for kids under 18. Seattle Children’s offered “gender” surgery for “nonbinary” patients, meaning they were not trying to make either male or female anatomy. Read that again. Seattle Children’s “followed” WPATH guidelines. 2/

Seattle Children’s Surgical “Gender Affirmation Program” “explains treatments in ways that match a patient’s age and understanding.” I’d not like to know how they explained to hurting, trusting, autistic teens, how they’d never have areolar sensation, never nurse a baby… 3/

Seattle Children’s Gender Surgery had LGBTQ-friendly spiritual care. Seattle Children’s would help patients get letters of medical and mental health support and get insurance approval. 4/

Seattle Children’s would “connect you with Seattle Children’s Fertility Preservation Program…” “if you are interested.” - this implies they were castrating boys and/or men, and sterilizing (hysterectomy/oophorectomy) girls and/or women, presumably with help of other surgeons. 5/ —so they knew some of their surgeries were sterilizing —this clinic treated kids under 18 and adults under 26. For comparison, nationwide Medicaid won’t pay for (healthy) sterilization under 21, as I understand.

Seattle Children’s Gender Surgery offered: -forehead, brow, sinus, facial fat, cheek, nose, chin, jaw, Adam’s apple, breast augmentation, mastectomy (with or without nipple), breast reduction, penile inversion OR peritoneal OR intestinal vaginoplasty, minimal-depth vulvoplasty, orchiectomy, metoidoplasty, glansplasty, scrotoplasty, body contouring (liposuction and body fat grafting), and more, AND… 6/

…Seattle Children’s offered revision surgery for your earlier “gender-affirming surgery,” which Washington State required your insurer to cover under state law, and now needs fixed. 7/