Sex “reassignment” doesn’t work. It’s impossible to “reassign” someone’s sex physically, and attempting to do so doesn’t produce good outcomes psychosocially.

As I demonstrate in my book, “When Harry Became Sally: Responding to the Transgender Moment,” the medical evidence suggests that sex reassignment does not adequately address the psychosocial difficulties faced by people who identify as transgender. Even when the procedures are successful technically and cosmetically, and even in cultures that are relatively “trans-friendly,” transitioners still face poor outcomes.

Dr. Paul McHugh, the university distinguished service professor of psychiatry at the Johns Hopkins University School of Medicine, explains:

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