The Surgeries Are Immoral

Michie

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Conservatives should oppose “gender-affirming” surgeries with a positive account of human freedom ordered towards the goods that make freedom a blessing rather than a curse.

Florida has made it illegal for doctors to surgically alter the genitals of minors to treat gender dysphoria. In November 2022, after the Florida Board of Medicine took an initial step toward banning “gender-affirming” procedures, Florida Surgeon General Joseph Lapado praised the board’s members for “ruling in the best interest of children in Florida despite facing tremendous pressure to permit these unproven and risky treatments.” The pressure was indeed quite strong. But describing the procedures as “unproven and risky” misleadingly suggests a technical difficulty that could be fixed with better data or tools.

The real problem is more basic: the surgeries remove healthy organs without good reason.

That’s not risky—it’s harmful and morally wrong. The people who seek such surgeries are trying to alleviate very real suffering, but whether surgery addresses such suffering humanely is not a question patients are automatically best positioned to answer. That’s true of any patient seeking any medical procedure.

The question is both a moral and a political one. If the surgeries grievously injure the vulnerable people they’re supposed to help, then patients shouldn’t seek them, doctors shouldn’t administer them—and voters and legislators should seriously think about banning them.

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