Something curious is happening in the American Journal of Psychiatry. Last fall, an article claiming that sex reassignment improves mental health was published. It took about a year, but this week, over half a dozen of Letters to the Editor have been published in response. /1

They are not yet available without a subscription (using my favorite hack https://sci-hub.tw ) but check out the titles:
* Methodological Shortcomings Undercut Statement in Support of Gender-Affirming Surgery https://doi.org/10.1176/appi.ajp.2020.19111117 /1

*Study of Transgender Patients: Conclusions Are Not Supported by Findings https://doi.org/10.1176/appi.ajp.2020.19111131
*Calling Into Question Whether Gender-Affirming Surgery Relieves Psychological Distress https://doi.org/10.1176/appi.ajp.2020.19111149 /2

*The Effect of Gender-Affirming Treatment on Psychiatric Morbidity Is Still Undecided https://doi.org/10.1176/appi.ajp.2020.19111165
*Confounding Effects on Mental Health Observations After Sex Reassignment Surgery https://doi.org/10.1176/appi.ajp.2020.19111169 /3

*Gender-Corrective Surgery Promoting Mental Health in Persons With Gender Dysphoria Not Supported by Data Presented in Article https://doi.org/10.1176/appi.ajp.2020.19111170
*Gender-Affirmation Surgery Conclusion Lacks Evidence https://doi.org/10.1176/appi.ajp.2020.19111130 /4

Has a quiet revolution of common sense begun?