Topic: Level One Evidence

Dr. Marcy Bowers, president of the World Professional Association for Transgender Health (WPATH), defended gender-affirming care by claiming trans identities have existed since "antiquity." Bowers dismissed the need for "level one" randomized controlled trials, comparing gender transition to cancer treatment where using a placebo would be unethical. The discussion highlights the controversy over WPATH removing age guidelines for surgeries and the lack of consensus-based science in the field.