Monica,

This is a misleading statement. First, The American Academy of Pediatrics and the American Medical Association guidelines do not advocate surgery before for minors wishing to explore their gender identity, in fact, it is medical malpractice to do so. FAIR's Statement and your statement imply that somehow physicians and medical professionals are not transparent when discussing with the parent of the children the appropriate medical and scientific evidence is downright dangerous. The CASS review is not a peer reviewed document, the AAP, Endocrine Society and American Psychology Association questioned the biases in the report and reaffirmed that the CASS study did not shine any new information on the subject matter. The concerns raised by professionals were similar to the reactions from professionals regarding the Wakefield MMR paper. If a review should be conducted, it should be a meta-analysis which is the gold standard in scientific research.

There are decades worth of research. Here are a few papers you can read if you believe that there is "lack" of research regarding this subject matter.

Abbott-Smith, S., Ring, N., Dougall, N., & Davey, J. (2023). Suicide prevention: What does the evidence show for the effectiveness of safety planning for children and young people? - A systematic scoping review. Journal of psychiatric and mental health nursing, 30(5), 899–910. doi.org/10.1111/jpm.129…

Jason Rafferty, COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH, COMMITTEE ON ADOLESCENCE, SECTION ON LESBIAN, GAY, BISEXUAL, AND TRANSGENDER HEALTH AND WELLNESS, Michael Yogman, Rebecca Baum, Thresia B. Gambon, Arthur Lavin, Gerri Mattson, Lawrence Sagin Wissow, Cora Breuner, Elizabeth M. Alderman, Laura K. Grubb, Makia E. Powers, Krishna Upadhya, Stephenie B. Wallace, Lynn Hunt, Anne Teresa Gearhart, Christopher Harris, Kathryn Melland Lowe, Chadwick Taylor Rodgers, Ilana Michelle Sherer; Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents. Pediatrics October 2018; 142 (4): e20182162. 10.1542/peds.2018-2162

Virupaksha, H. G., Muralidhar, D., & Ramakrishna, J. (2016). Suicide and Suicidal Behavior among Transgender Persons. Indian journal of psychological medicine, 38(6), 505–509. doi.org/10.4103/0253-71…

Haas, A. P., Eliason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D'Augelli, A. R., Silverman, M. M., Fisher, P. W., Hughes, T., Rosario, M., Russell, S. T., Malley, E., Reed, J., Litts, D. A., Haller, E., Sell, R. L., Remafedi, G., Bradford, J., Beautrais, A. L., Brown, G. K., … Clayton, P. J. (2011). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. Journal of homosexuality, 58(1), 10–51. doi.org/10.1080/0091836…