Watch now (40 mins) | The Legal Reckoning Facing Pediatric Gender Care
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Whistleblowers Expose Kid Gender Surgeries in US Bombshell

The Legal Reckoning Facing Pediatric Gender Care

Sloan Rachmuth
Feb 10
 
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For years, parents were told not to ask questions.
Doctors were told to ‘affirm’ gender.
Children paid the price.

A new documentary, Not Standing Alone, produced by author and journalist Adam B. Coleman, brings forward voices long dismissed or silenced—medical professionals, parents, and detransitioners who argue that pediatric gender medicine moved faster than the evidence ever justified.

Adam B. Coleman

In a recent podcast, Coleman says the film documents what many families now say openly: this was not careful, individualized care. It was an institutional rush with irreversible consequences.

This documentary arrives at a moment when denial is no longer sustainable.

When Medicine Stops Asking “Why”

The most striking theme in Not Standing Alone is how quickly normal childhood distress became medicalized.

Children arrived anxious.
Depressed.
Confused.

Rather than slowing down, clinicians accelerated the process.

Interviewed doctors and psychologists describe a system built around “affirmation” as a default, where questioning a child’s self-diagnosis, or exploring family dynamics, social contagion, or mental health issues, was framed as harm.

Parents say that healthcare providers guilted them that their hesitation could lead to suicide. Physicians describe professional pressure to comply. The result, detransitioners explain, was a pathway that prioritized speed over scrutiny.

This was not cautious medicine.
It was political medicine.

The suffering came later. When horiffic complications emerged. When the promised relief never arrived. When doctors stopped returning parents’ calls.

Detransitioner Fox Varian

The Fox Varian Case Changed Everything

The documentary’s urgency is underscored by the Fox Varian case, a legal turning point that has sent shockwaves through the medical and legal communities.

Varian transitioned as a 16 year-old, later detransitioned, and sued her providers.

A New York jury found that clinicians failed to meet appropriate standards of care and awarded damages for long-term physical and psychological harm. Central to the verdict was informed consent—or the lack of it.

The jury sided with the patient.
Not the institution.
Not the ideology.

The ruling acknowledged a reality many parents have argued for years: a child cannot meaningfully consent to irreversible medical interventions when long-term risks are unknown and alternatives are discouraged. For the first time, a jury treated “affirmative care” not as settled science, but as medical practice subject to accountability.

That precedent matters.

North Carolina Drew a Line

While courts are beginning to respond, North Carolina lawmakers acted earlier.

Session Law 2023-111 (House Bill 808) took effect on August 16, 2023.

The law prohibits medical professionals from providing gender-affirming surgical procedures, puberty-blocking drugs, or cross-sex hormones to minors under 18. It also bars state funds from supporting such care, with narrow exceptions only for minors already receiving treatment.

The core of the law is straightforward.

Medical professionals may not perform surgical gender transition procedures on minors.


Puberty blockers and cross-sex hormones are prohibited for those under 18.


Taxpayer dollars may not subsidize these interventions.

The law restores a basic medical principle: when outcomes are uncertain and harm is irreversible, restraint is mandatory.

Especially where children are concerned.

Closing: Three Takeaways for Parents

First, this was never a fringe issue. Not Standing Alone makes clear that pediatric gender medicalization was not limited to a handful of rogue clinics. It was institutional, standardized, and protected by professional norms that discouraged dissent.

Parents were told it was rare. The evidence suggests otherwise.

Second, accountability is no longer theoretical. The Fox Varian verdict signals a real shift. Courts are beginning to examine whether medical authority was exercised recklessly when minors were involved.

The assumption that “affirmation” shields providers from scrutiny is breaking down.

Finally, policy is starting to reflect parental common sense. North Carolina’s HB 808 is not about culture war theatrics. It is about time, maturity, and irreversible risk.

Childhood distress deserves patience, therapy, and family involvement—not permanent medical interventions with unknown long-term consequences.

“Not Standing Alone” leaves viewers with an uncomfortable truth.
Silence enabled harm.


Speaking up may be the only way to stop it.

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548 Market Street PMB 72296, San Francisco, CA 94104
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