Calling balls & strikes can Piss off People
- cass1984usna
- Mar 6
- 3 min read
Updated: Mar 10

The Path Forward at Six with Cassandra Williamson (6PM Eastern)
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Strike: NOT a single post-operative transgender American was surveyed in this study. Yet, they attack the wellbeing of transgender Americans.
Oxford Study, published 25 Feb 2025, entitled, [It's behind a paywall], "Examining gender-specific mental health risks after gender-affirming surgery: a national database study"
Below are quotes for the published study. They say that the strength of their work is that this was not a survey, that they used ICD-10 coded data of patients, to arrive at their conclusions. I call bullshit on that. It's a disqualifying limitation of their study to not speak with actual post-op transgender Americans. See the BALLS section below to see how we really feel.
"This retrospective study utilized the TriNetX database, analyzing U.S. patients aged ≥18 with gender dysphoria (International Classification of Diseases, Tenth Revision [ICD-10] F64) between June 2014 and June 2024."
The study's stated results: "From 107 583 patients, matched cohorts demonstrated that those undergoing surgery were at significantly higher risk for depression, anxiety, suicidal ideation, and substance use disorders than those without surgery. "
The study listed their strengths and limitations this way: "By leveraging ICD-10 codes, we provide a more accurate representation of patient demographics and clinical outcomes, minimizing recall and reporting biases that often limit survey-based research. Limitations include the inability to account for unmeasured confounders such as social support."
Balls: The 2022 US Trans Survey did survey actual Transgender and Non-binary Americans. This survey reported that 92,329 transgender and non-binary Americans responded to the survey. This group represented people from all fifty states, our US territories, and from US Military bases around the world.
Pg 18 in the Early Insights Report from the 2022 US Trans Survey
USTS Early Insights (2022) states that, "Nearly all respondents (97%) who had at least one form of surgery for their gender identity/ transition reported that they were either “a lot more satisfied” (88%) or “a little more satisfied” (9%) with their life. One percent (1%) reported that surgery made them “neither more nor less satisfied” with their life, less than 1% were “a little less satisfied,” and 1% were “a lot less satisfied” with their life."

Also from the US Trans Survey, Early Insights Report, on page 17, satisfaction with transitioning gender with or without surgeries,...
"Nearly all respondents (94%) who lived at least some of the time in a different gender than the one they were assigned at birth (“gender transition”) reported that they were either “a lot more satisfied” (79%) or “a little more satisfied” (15%) with their life. Three percent (3%) reported that transitioning gender made them “neither more nor less satisfied” with their life, 1% were “a little less satisfied,” and 2% were “a lot less satisfied” with their life."

Cassandra Williamson
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