I can relate


Only 3% of transgender adults regret transitioning.

I don’t have any personal experience with that. The part I relate to is all the people who regret knee surgery — I had knee surgery, I don’t think I was harmed by it, but it didn’t help at all. I could have spared myself weeks of time in bed and all that therapy if I’d just stayed home.

With those odds, though, I’d transition, if only I weren’t mostly satisfied with the body I’ve got.

Comments

  1. says

    this science will convince no one. simply put, if 3 in a hundred people regret something that was irreversible! irreversible! then it still shouldn’t be allowed, because what ifffffff? what if it was yooou? i don’t know the best way to navigate that conversation so i usually stay out of it. children’s rights are a huge part of it, and we’re even farther from achieving those than trans rights. vanishingly few parents trust their children to have any autonomy whatsoever.

  2. acroyear says

    I note that 3% story never gives some of the reasons WHY they ‘regret’. For some, it is the ostracism, public abuse, lack of legal recognition, and loss of relationships including family, rather than actually deciding they should have stayed what they were because they feel were that all along.

  3. acroyear says

    and i note, if they make transition surgery illegal because someone might regret it…well, how many women can’t get hysterectomies when they want them (especially women whose reproductive systems cause severe pain, or have decided they absolutely will remain ‘child free’) because the doctors all push back repeatedly that someday they may meet someone and change their mind about having a kid.

    A future man who may not ever exist would exert control over a woman’s decisions in the present. Banning trans surgery over potential ‘regret’ would open this dreadful practice up to becoming law.

  4. Hemidactylus says

    I had knee surgery in my late teens and can’t say I regret it. My knee was swelled with bloody fluid. Was there a better option?

    In the past year, being in my late 50s I got too aggressive with body weight squats and fucked my knee for a while. It bounced back, ironically maybe with seiza. I worried I would need surgery. My back and
    and hips have given me grief too though discovering hardcore stretches and dumbbell RDLs may have fixed that?

    I’m glad to hear the largely non-existent lack of regret for trans hormone therapy and/or surgery which I think is a situation different to me just fighting against the depredations of old age before it really comes for me in the next decade.

  5. raven says

    In the real world, regret is ubiquitous and part of life.
    Who doesn’t have a long list of things and decisions they regret?

    Some of the common ones.
    .1. Marriage.
    The divorce rate in the USA is around 50%.
    That is high for a major life decision.

    .2. Children.

    Between 5% and 14% of parents in developed countries like the United States express regret about having children.

    Specific Survey and Study Data

    • Gallup Poll (2013): When Americans aged 45 and older were asked how many children they would have if they could go back in time, 7% of respondents with children said zero.

    Between 5% and 14% of parents regret having children.

    And, this is also theoretically an irreversible decision.
    Some parents regret having children so much that they reverse it anyway by killing their kids.

  6. drdrdrdrdralhazeneuler says

    I hate to make it once again known, but I advised against the procedure based upon the very article you cited in that regard.

  7. Hemidactylus says

    raven @7
    Is it possible to regret being had as a child, who has no actual choice in the matter. Parents rarely contemplate that.

  8. says

    A 2020 review in the journal Aesthetic Surgery Journal looked at multiple studies covering over 100,000 patients. It found that:
    – Breast augmentation had a regret rate of 20 to 40 percent depending on timeframe
    – Rhinoplasty had a revision request rate of 5 to 15 percent
    – Facelifts had a regret rate of around 15 percent in studies tracking patients past five years

  9. Snarki, child of Loki says

    Was that 3% with “transition regret” people in Kansas that suddenly had their driver’s license pulled by GOP fascists?

  10. dangerousbeans says

    Thinking about it more, my main regret about transition was the lack of support and the dodgy information I had available. Things would have been better if I had experienced people to guide me through it, but it was still better than pretending to be a dude
    My regret about surgery is that the surgeon screwed up, in a minor way, and i have the feeling he didn’t care for his patients. But i needed that. It could have been done better, but given the choice of what i had and nothing i would choose what i had again

    So regrets? Yes, but mostly that society forced me to go through it all with so little support

  11. stuffin says

    Sent many patients off to surgery, all different types. After about 10 years I started educating my patients that surgery isn’t going to fix the problem, it changes it with the goal of reducing the symptoms (pain). Removal of the Gall Bladder for instance, the pain from the gall stones will dissipate because they took out the gall bladder (cholecystectomy). After removal the doctor connects your bile duct directly to the small intestine. So instead of the gall bladder storing the bile until it is needed, the bile is continuously being dumped into the small intestine. This can cause common GI symptoms including cramping, bloating nausea and diarrhea.

    I have a huge herniated lumbar disc, very painful. While discussing options (surgery) with my pain management doctor I mentioned in my 40 years of practice I felt back surgeries were a 50/50 proposition. He responded by saying it is even less than that, maybe as low as 30%.

  12. UffDah! says

    There’s this concept in disability rights called “the dignity of risk.” It refers to the right to self-determination and to take reasonable risks with one’s own life. A lot of disabled people under guardianship are denied the ability to make decisions about where they’ll live, how they’ll spend their own money, what kind of healthcare they’ll receive, etc. — stuff that most adults take for granted — in the name of protection. Transphobes want to deny trans people the dignity of risk, too: there’s so much legislation, proposed and on the books, that restricts the rights of legal adults to receive gender-affirming care. Meanwhile, many of the same treatments that are supposedly too dangerous for trans people to get are given to cisgender people all the time, and nobody objects.

  13. John Morales says

    Hemidactylus:

    raven @7
    Is it possible to regret being had as a child, who has no actual choice in the matter. Parents rarely contemplate that.

    No.
    By definition, ‘regret’ means a negative emotion where one feels sad, sorry, or disappointed about a past choice one has made.
    In short, regret requires having had personal agency. It is a self-referential emotion.

    One cannot regret a choice one did not make!

  14. John Morales says

    I get that a lot.
    Me knowning stuff and answering questions is too much for some to cope with.
    Not exactly a braniac thing to know what words mean, or to know words and emotions are in different categories.

    (Your ressentiment is duly noted, dangerousbeans, and I cannot regret that)

  15. Praxagora M says

    I’m not sure whether this is the study in question, but it’s worth noting that they did not find an age effect on levels of regret–that is, the young people who transitioned at an earlier age were not more regretful about their decision.

    It’s also notable that nonbinary participants were more regretful on average. So if parents don’t want their kids to transition, maybe they should encourage them to step outside the gender binary instead–but of course conservative parents don’t want that either.

    My only personal acquaintance who detransitioned did so because she moved to a more progressive area and decided that a more expansive definition of femininity allowed her to be a woman after all. But she also didn’t regret having transitioned in the first place.

    @acroyear #2,

    I note that 3% story never gives some of the reasons WHY they ‘regret’.

    This review article cites a study that suggests that about half of those who “regret” do so because of social pressure or because a nonbinary identity fit them better. Another study indicated that most people who detransitioned did so for social reasons: harassment, discrimination, and parental pressure.

    In fairness, regret rates may be somewhat higher than most of these studies indicate, because detransitioners are more likely to drop out of longitudinal studies. Still, they don’t seem anywhere near as high as the regret rates for marriage and having children and so forth–and they also need to be weighed against the extremely high rates of regret in transgender people that they couldn’t transition earlier.

    Oh a couple more comparisons: around 10% of American males wish they hadn’t been circumcised, and around 40% of parents who authorized genital surgery on intersex infants regretted doing so. Again, the pressure to follow restrictive social gender norms seems like a much bigger problem than letting trans folks do what they want with their bodies.

  16. CompulsoryAccount7746, Sky Captain says

    OP links.
    WaPo – Most transgender people have no regrets years after hormone therapy

    surveyed 376 transgender and gender-diverse people and found that five years after the initial treatment, 360, or nearly 97 percent, said starting hormone therapy was the right decision, and roughly 3 percent said they regretted taking the medication. Nearly 2 percent said they both regretted the transition and believe it harmed them. […] The study is the largest yet to examine satisfaction and regret in people who transitioned before they reached adulthood.

    Satisfaction, regret, and harm after hormone therapy in youth (2026)

    Nine participants provided qualitative reports of regret or harm, which generally fell under the following 3 broad categories: (1) HT-related changes were no longer desired (eg, facial or body hair, voice deepening, breast growth) (n=6); (2) adverse effects of HT (eg, vaginal atrophy, emotional lability attributed to HT, possible fertility impairment) (n=4); and (3) self-perception of not having been adequately prepared to make an informed decision about HT due to age or maturity, mental health difficulties, and/or lack of support from therapists and/or parents (n=7).

     
    A different much larger survey of adults.
    National Center for Transgender Equality – 2015 U.S. Transgender Survey Report (pdf, p111)

    [Page 99] Seventy-eight percent (78%) of respondents wanted to receive hormone therapy at some point in their life, but only 49% of respondents have ever received it. Ninety-two percent (92%) of those who have ever received hormone therapy were currently still receiving it, representing 44% of all respondents. […] Of respondents who have ever had hormone therapy, 4% started hormone therapy before the age of 18, 41% began between the ages of 18 and 24, 43% began between the ages of 25 and 44, and 13% began after age 45.

    While the majority (91%) of respondents received their hormone medications only from licensed professionals, 6% received them from both licensed professionals and friends, and 2% reported receiving them only from friends, online sources, or other non-licensed sources.
    […]
    [Page 111] Eight percent (8%) of respondents reported having de-transitioned at some point. Most of those who de-transitioned did so only temporarily: 62% of those who had de-transitioned reported that they were currently living full time in a gender different than the gender they were thought to be at birth.
    […]
    Respondents who had de-transitioned cited a range of reasons, though only 5% of those who had de-transitioned reported that they had done so because they realized that gender transition was not for them, representing 0.4% of the overall sample.

    The most common reason cited for de-transitioning was pressure from a parent (36%). Twenty-six percent (26%) reported that they de-transitioned due to pressure from other family members, and 18% reported that they de-transitioned because of pressure from their spouse or partner. Other common reasons included facing too much harassment or discrimination after they began transitioning (31%), and having trouble getting a job (29%)

    Factors leading to “detransition” among transgender and gender diverse people in the United States (2021)

    A secondary analysis was performed on data from the U.S. Transgender Survey, a cross-sectional nonprobability survey of 27,715 TGD adults in the United States. […] the largest survey of TGD people to date. […] Because the USTS exclusively surveyed people who currently identified as TGD, our study is restricted to the examination of detransition among people who subsequently identified as TGD.
    […]
    It is important to highlight that detransition is not synonymous with regret. Although we found that a history of detransition was prevalent in our sample, this does not indicate that regret was prevalent. All existing data suggest that regret following gender affirmation is rare. For example, in a large cohort study of TGD people who underwent medical and surgical gender affirmation, rates of surgical regret among those who underwent gonadectomy were 0.6% for transgender women and 0.3% for transgender men. Many of those identified as having “surgical regret” noted that they did not regret the physical effects of the surgery itself but rather the stigma they faced from their families and communities as a result of their surgical affirmation. Such findings mirror the qualitative responses in this study of TGD people who detransitioned due to family and community rejection.

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