#460 Detransitioners, Gender Dysphoria & the Risks of “Affirming Care” | Part 1

In this episode of And Another Thing With Dave, host David Smith kicks off a multi-part series critically examining pediatric gender dysphoria and so-called “affirming care.” Drawing from peer-reviewed medical and psychological literature, Dave focuses on detransitioner testimonies and raises concerns about current clinical practices involving puberty blockers, cross-sex hormones, and surgical interventions for minors.

The episode explores gaps in long-term outcome data, the role of political and institutional pressure on gender clinics, and the need for broader psychological evaluation—especially when comorbid conditions such as autism, trauma, depression, or social isolation are present. Dave argues for a more cautious, holistic, and evidence-based approach to helping children, while maintaining that adults should retain autonomy over their own medical decisions.

This is a challenging, in-depth conversation about medicine, ethics, culture, and responsibility—intended to question prevailing narratives and encourage open discussion grounded in research and lived experience.

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