🚨 WPATH has conceded in court that its "Standards of Care" is merely an opinion. WPATH says it represents one side of an unsettled scientific debate marked by uncertainty — and physicains & orgs that rely on WPATH as the standard of care must bear "independent responsibility."/1

WPATH now agrees that pediatric transgender medicine is marked by "medical and scientific uncertainty." It represents its SOC-8 recommendations merely as an expression of WPATH's "free speech." Yet for years, WPATH presented its guidelines as an unquestionable medical standard of care. The social and scientific costs of questioning their recommendations were steep and could be career-ending. /2

WPATH now says there are two sides to the scientific debate over care for gender-dysphoric youth. On one, the gender-affirming model WPATH promotes. On the other, the Cass Review and Cass-aligned policies such as restrictions or bans on puberty blockers and hormones for minors./3

To defend itself against the FTC in the federal court, WPATH leans 𝐟𝐚𝐯𝐨𝐫𝐚𝐛𝐥𝐲 on two Supreme Court rulings that under normal circumstances it decries. One is Skrmetti, which allowed states to ban transgender interventions for minors. The other is the pro-"conversion therapy" Chiles v. Salazar ruling. /4
Leaning on the pro-state-bans Skrmetti ruling, WPATH argues that the states have the right to regulate transgender interventions. While some states exercised their right to ban them—other states likewise have the right to promote transgender interventions for minors, using WPATH as the state-endorsed standard of care. /5

In what appears to be a desperate move, WPATH favorably quotes the SCOTUS ruling that cleared the path for administering talk therapy aimed at changing homosexual orientation and gender identity (Chiles v. Salazar). WPATH previously strongly objected to both as forms of conversion therapy.
Now, WPATH argues that although conversion therapy may be "substandard care," the Court rightly protected it as free speech. They argue that, likewise, WPATH's own SOC-8 guidelines should also be protected as "free speech"—even if the care they advocate for is judged as "substandard." /6

SEGM is not a policy-making group. Rather, we communicate with the clinical community, and often have to explain why we do not consider the WPATH Standards of Care to be evidence-based.
Our reading of the latest WPATH filing: WPATH's message is that its "Standards of Care" are merely an opinion and an expression of free speech. Clinicians who rely on the SOC-8 document—and organizations that refer to it as the implied standard of care for gender-dysphoric youth—are, in fact, taking on independent responsibility for the premise that the document represents trustworthy clinical guidance.
In turn, patients who trust the clinicians following the WPATH Standards of Care should know they are in a "buyer beware" situation. They are being treated based on what WPATH asserts to be merely an expression of "free speech"—representing only one side of an unsettled scientific debate marked by "medical and scientific uncertainty." /7
This most recent WPATH court filing is here and deserves to be read in full:
https://segm.org/sites/default/files/2026-08/WPATH%20Motion%20to%20dismiss_Aug%202026.pdf
Note: AI was used in the production of the screenshots for this thread, in order to stitch text across page breaks & suppress hanging sentence fragments. The wording is verbatim and unaltered./8