A pro-transgender university surgeon says he is performing irreversible sex surgeries on pre-pubescent children who have had no experiences of sexual feelings and little ability to consent or accomplish the required post-surgical procedures.

“It’s a very complicated issue,” Dr. Blair Peters, a Canadian-trained “queer” surgeon at Oregon Health & Science University, told a friendly interviewer. “But I think definitely something that we’re going to learn a lot more about in the next five to 10 years as we’re doing just increasing numbers of these cases,” Blair said in the now-archived video.

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Getting consent and cooperation from the pre-sexual children is also a problem, Blair acknowledged:

It’s challenging because there’s this question of ‘How does that factor into consent?’ when you’re consenting someone for pubertal suppression, and there likely is some effect on downstage genital surgery, but you don’t know if an individual is going to desire genital surgery in the future or not.

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