The most common gender affirming surgery is breast augmentation -- in cis (non-trans) women.

The regret rate is around 20%.

Gender affirming surgeries in trans people have around a 1% regret rate.

Guess which people need approval from a mental health provider...

@joelle

"Gender affirming surgeries in trans people have around a 1% regret rate.

Guess which people need approval from a mental health provider..."

That might suggest requiring such approval is quite effective in lowering the regret rate...🤔

@sibrosan One thing we know is that regret rate over the years has not changed, despite gatekeeping being reduced (albeit not eliminated). I.E. it’s easier to get trans-related surgery now than it was 30 years ago, yet regret rate has not gotten higher.

@joelle "One thing we know is that regret rate over the years has not changed, despite gatekeeping being reduced"

That does make your point more plausible.

@sibrosan @joelle It kind of does? Your point was that the high level of gatekeeping reduced regret rates. But regret rates remained low even when gatekeeping was relaxed. Ergo, the gatekeeping wasn't a significant factor.

@Loungeiguana @joelle

"Your point was that the high level of gatekeeping reduced regret rates."

Well, no. If you read carefully, I did not claim anything of the sort.

@sibrosan @joelle that's right. You used a "just asking questions 🤔" emoji. Excuse me if I don't waste time playing semantics with you.

@Loungeiguana @joelle

> You used a "just asking questions " emoji. <

I did, but more importantly, stating that something might suggest "X" is really not the same as positively claiming "X".

My actual point was that it would be incorrect to simply assume the regret rate would be that low independently of the gatekeeping.