In this episode of Talk Truth, Dr. Melanie Crites-Bachert, a fellowship-trained pelvic reconstructive surgeon, discusses the rise of gender reassignment surgeries—especially among minors—and her personal decision not to perform them. She outlines the irreversible physical and psychological consequences, the ethical challenges facing medical professionals, and the intense pressure from both social and industry forces. The conversation addresses long-term complications from surgery and hormone treatments, the lack of research supporting interventions for children, and the urgent need for reliable information and medical integrity.