U.S. Takes on Global Trans at the UN

By | 2026

UNITED NATIONS, August 21 (C-Fam) In a move that shocked progressive governments, the Trump administration has proposed language in a UN document that warns of “sex-rejecting procedures” on children.

The U.S. amendments, proposed in a resolution about mental health and psychosocial support, warn against the “increasing numbers of children diagnosed with gender dysphoria” and the “increased use of pharmacological and surgical interventions as treatments for pediatric gender dysphoria.”

The amendments call on governments to explore alternatives to sex-rejecting procedures and to ensure that children who experience gender dysphoria have access to mental health and psychosocial support.

The amendments also call on governments to rely on “high-quality evidence concerning the effects of sex-rejecting interventions on psychological outcomes, quality of life, regret, and long-term health.” They endorse evidence-based medicine, specifically “long-term observational studies with parallel control groups that are based on sufficiently large cohorts.” Such studies are notoriously lacking in the transgender sex change industry.

The language of the amendments is based on President Trump’s political commitments and the work of U.S. federal agencies since he took office for a second term. The amendments suggest that exposing gender ideology and the transgender medical industry is a consistent priority for the Trump administration both in domestic and foreign policy, to a much greater degree than during the first Trump administration.

The position of the Trump administration clashes with the European Union and the UN bureaucracy. In 2019, EU-funded transgender lobby groups pushed the World Health Organization to reclassify “gender dysphoria” as a medical condition and no longer as a mental health condition under the new name “gender incongruence.” The new classification makes treatment through pharmacological and surgical interventions a matter of course instead of mental health and psychosocial support, as before.

The UN system routinely promotes transgender medical interventions for children. UN Agencies and human rights bodies have repeatedly called for such sex-rejecting interventions in policies and reports related to gender identity, sexual and reproductive health, and a human rights perspective for mental health.

A 2023 Guide on “Mental health, human rights and legislation: guidance and practice” produced by the UN human rights office together with the World Health Organization, summarizes instances of the UN system promoting sex-rejecting procedures for children, as well as government funded hormone treatment for minors, access to opposite sex spaces (i.e. bathrooms, locker rooms, prisons) based on subjective gender identity, and restrictions on therapeutic freedom to help children overcome gender dysphoria.

On January 20, 2025, Trump signed an executive order on “Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government.” That executive order was followed by two groundbreaking studies by the U.S. Department of Health and Human Services (HHS) led by Robert F. Kennedy, detailing the abuses of the transgender medical industry and the lack of scientific evidence for dangerous sex-rejecting procedures.

An HHS report published on November 19, 2025, titled “Treatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices”, is a comprehensive peer-reviewed study of all the available evidence on sex-rejecting procedures, their effectiveness and their side-effects. The report found no evidence of the effectiveness of such treatments and found many short- and long-term adverse effects likely to result from sex-rejecting interventions instead, including infertility and sterility, sexual dysfunction, impaired bone density development, adverse cognitive effects, cardiovascular and metabolic disease, psychiatric conditions, surgical complications, and regret, among others.

Another HHS report published on August 14, 2026, titled “Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of “Gender Medicine”, describes the fraudulent practices of the transgender medical industry, including failing to offer children and their parents alternatives to sex-rejecting interventions, pressure to go through with treatments, and lack of support for detransitioners. The report is accompanied by a short video presentation that lays out the findings in the report in an interactive way.

The UN resolution is expected to be adopted early in September before the end of the current session of the General Assembly. Given the amendments tabled by the Trump administration, it is unlikely that it will be adopted unanimously, if at all.

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