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Irreversible Damage: The Transgender Craze Seducing Our Daughters Paperback – June 29, 2021
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Until just a few years ago, gender dysphoria—severe discomfort in one’s biological sex—was vanishingly rare. It was typically found in less than .01 percent of the population, emerged in early childhood, and afflicted males almost exclusively.
But today whole groups of female friends in colleges, high schools, and even middle schools across the country are coming out as “transgender.” These are girls who had never experienced any discomfort in their biological sex until they heard a coming-out story from a speaker at a school assembly or discovered the internet community of trans “influencers.”
Unsuspecting parents are awakening to find their daughters in thrall to hip trans YouTube stars and “gender-affirming” educators and therapists who push life-changing interventions on young girls—including medically unnecessary double mastectomies and puberty blockers that can cause permanent infertility.
Abigail Shrier, a writer for the Wall Street Journal, has dug deep into the trans epidemic, talking to the girls, their agonized parents, and the counselors and doctors who enable gender transitions, as well as to “detransitioners”—young women who bitterly regret what they have done to themselves.
Coming out as transgender immediately boosts these girls’ social status, Shrier finds, but once they take the first steps of transition, it is not easy to walk back. She offers urgently needed advice about how parents can protect their daughters.
A generation of girls is at risk. Abigail Shrier’s essential book will help you understand what the trans craze is and how you can inoculate your child against it—or how to retrieve her from this dangerous path.
- Print length276 pages
- LanguageEnglish
- PublisherRegnery
- Publication dateJune 29, 2021
- Reading age18 years and up
- Dimensions5.5 x 0.9 x 8.5 inches
- ISBN-10168451228X
- ISBN-13978-1684512287
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- Publisher : Regnery (June 29, 2021)
- Language : English
- Paperback : 276 pages
- ISBN-10 : 168451228X
- ISBN-13 : 978-1684512287
- Reading age : 18 years and up
- Item Weight : 2.31 pounds
- Dimensions : 5.5 x 0.9 x 8.5 inches
- Best Sellers Rank: #3,353 in Books (See Top 100 in Books)
- #2 in LGBTQ+ Demographic Studies
- #6 in Censorship & Politics
- #11 in Political Conservatism & Liberalism
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About the author

Abigail Shrier is the New York Times bestselling author of BAD THERAPY: Why the Kids Aren't Growing Up (2024). She received the Barbara Olson Award for Excellence and Independence in Journalism in 2021. Her previous bestseller, IRREVERSIBLE DAMAGE: The Transgender Craze Seducing Our Daughters (2020), was named a ‘Best Book’ by The Economist and The Times (of London). It has been translated into ten languages.
Shrier holds an A.B. from Columbia College, where she received the Euretta J. Kellett Fellowship; a B.Phil. from the University of Oxford; and a J.D. from Yale Law School.
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To be clear at the start, I support basic human rights for all people, including people who wish to present socially as the stereotypic opposite sex, or even, as adults, alter their bodies as part of that quest. However, it is not a basic human right to force other people to deny material realities. Sex is a material reality, not a social construct. I do not support the anti-science ideology that conflates and confuses sex with personality/gender, claiming human sex (biology) is therefore a “spectrum”, or a “social construct”, or that a person’s sex at conception can later be changed — it cannot.
Personality is a spectrum, or actually a series of spectrums, and hopefully evolves somewhat over a lifetime as we mature. The political left seems to think that supporting the LGBT population requires total capitulation to an irrational ‘genderist’ (sexist) ideology that, like far right religious conservatism, locks sex and personality together. On the right, a girl who likes to play with trucks should squelch that interest and strive to enjoy only properly “feminine” (?) activities like the universe intended. Ridiculous. On the left, a girl who likes to play with trucks should recognize she is a boy and start puberty blockers, then testosterone, then double mastectomy. Ridiculous — a blatant revival of old-fashioned sexism in an even more destructive form. What to do? Make sure she has some trucks to play with. It’s part of her girlhood.
Many on the left either have no idea what is going on, or they are blinded by genderist ideologues who have captured the conversation with BIG MONEY support ultimately coming from the gender clinics, hormone manufacturers, and pornography empires who want all the bodies and eyeballs they can get. On the11thhourblog, you can follow the money powering the insidious marketing campaign. These big dollar interests, disguised as a civil rights movement, have corrupted LGBT organizations, the ACLU, the Dems, the academy, feminism, the liberal media, healthcare professionals and more. This left-leaning LGBT person could not be more pleased with Shrier’s compassionate, factual and balanced book. Someone who actually cares enough about young girls to stick her neck way out there in this era of unreason.
I do not want teenage girls to be misdirected and gaslit about the nature of sex, or forced to compete with boys in sports where male physicality gives an innate advantage, or forced to share female spaces with boys.
So...what a breath of fresh air this book is, exposing the role of social media, money, and the new cultish version of “trans” in making life for some adolescent girls too painful to bear. If you care about your children’s science education and/or sex education, read this book. If you have a daughter, read this book.
7/11/20 Edit:
Schrier ends the book with seven ideas for parents of girls to consider. I would add one more idea into the mix:
8. Learn how destructive relationships and groups can gain control of a person, and teach your children how to recognize the tactics of cults and thought control.
I recommend TERROR, LOVE AND BRAINWASHING by Alexandra Stein. Also consider books by Robert Lifton or Steven Hassan. Finally, read a disturbing 2017 paper written by Jenn Smith, a Canadian trans-identified male: “Synanon, the Brainwashing Game and Modern Transgender Activism: The Orwellian Implications of Transgender Politics.” You can google it.
7/25/20 Edit:
I have just learned about a new organization of healthcare professionals who recognize the problem with the current ‘gender affirmative’ model and have banded together to promote evidence-based gender medicine. These adults are standing up together in a way that makes them more difficult to silence. I am grateful.
SEGM - Society for Evidenced-Based Gender Medicine. “Our aim is to promote safe, compassionate, ethical and evidence-informed healthcare for children, adolescents, and young adults with gender dysphoria.”
12/6/20 Edit:
In the UK on 12/1/20, Keira Bell age 23 won her case against the NHS Tavistock Gender Identity Development Service. The Court determined that adolescents and children under age 16 are NOT capable of giving consent to life-altering medical and surgical interventions such as puberty blockers, cross-sex hormones, and surgeries to address gender dysphoria. Further, at ages 16-17 physicians should consider obtaining a court order for such treatment. This is a major win in the fight against the rampant medical transing of children. You can read the judgment for yourself by searching Bell-v-Tavistock.
12/21/20 Edit:
Within the last couple of days Amazon has deleted all the comments made in response to reviews. About 23 comments were made in response to my review. That dialogue was genuine and beneficial. I am sorry to see it has been removed from view.
The author raises many questions, most important in my opinion being: Is there any way to develop a more objective means of determining whether someone really is trans? As a nurse practitioner, I administer objective measures of the severity of a patient's depression or anxiety in order to guide initial prescription and dose changes, usually PHQ-9 and GAD-7. It seems funny to call them "objective" given that they rely on the patient answering questions about him/herself (for those who don't know, anything the patient says is considered "subjective" and anything the healthcare provider assesses or measures, such as listening to your heart or looking at your lab results, is called "objective"), but they're extremely helpful because patients often can't tell they're doing better or worse because their depression or anxiety makes them myopic, but these scales show that there have been changes (for better or for worse) and can guide treatment even when the patient is unable to verbalize (or unable to verbalize CORRECTLY) what has changed, if anything. Objective depression/anxiety scales such as these have been thoroughly tested via research on actual patients. I've successfully used objective scales to guide patients on whether they do or don't actually need to use medication--for example, accurately predicting that my moderately or severely depressed patient who doesn't want medication actually will be very much improved if they take it, or accurately predicting that my very mildly anxious patient won't improve on anxiety medication. Unfortunately, with gender dysphoria, the determination is often made with questions that should really apply to all adolescents, such as, "Do you feel uncomfortable with your body?" and, "Do you ever wonder what it would be like to be the opposite sex?" There are no objective scales and therefore no way to accurately predict whether the patient who thinks they don't want to transition actually might benefit from transitioning or, alternatively, the patient who thinks their problems will be solved by transitioning actually won't benefit at all. When we're talking about taking a very inexpensive, mild anxiety medication for 6 weeks before realizing it made no difference, it's not a big deal if my patient doesn't listen to me when I predict, on the basis of an objective anxiety scale, that the medication won't help her. But when we're talking about transitioning to a new gender, and every failure to improve is blamed on having only partially transitioned, and so the only way to know whether further transitioning will help is to go all the way through permanent removal of healthy breasts, uterus, penis, or testicles and further surgery to create a faux vagina or penis and scrotum, there's a MUCH greater risk involved in going ahead with the recommended treatment, particularly when there's no thoroughly tested objective scale to use to predict the likely outcome. It's all based on the very subjective claims made by individuals who may very well merely be caught up in a social contagion. Many girls with ROGD are being pushed to transition further and further, and any failure to improve is blamed on not having fully transitioned, and so girls who likely would have resolved their gender dysphoria and returned to identifying as female instead end up making permanent changes such as mastectomy, which they later regret.
One final note: The author mentions that girls with ROGD are disproportionately more likely than the average population to be autistic, but comments that she can't really go into that in more detail in large part because there isn't much research on it. But she comments that, similar to Dr Littman's findings, a lot of the girls with ROGD whom she interviewed or whose parents she interviewed were autistic. It would be interesting to see some more research on that very specific issue.
Disclosure: I am writing this review long after having read the book, so I've probably misremembered some things and failed to mention others that were very important.
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I'm 55, with a 19 and a 22 year old. Either one of my kids could easily have fallen prey to this seductive movement and entered into a lifetime of medicalization. At 12, my youngest "came out" to me as lesbian, and I simply told her she can form romantic attachments to whoever she likes, but I wasn't willing to label her at that point. She didn't like my firmness, but now she looks back on that phase with embarrassment, as a moment when she felt left out, wanted to be special, belong, and be celebrated... the queer kids were getting stuff she wasn't getting, so she joined the LGBTQ club at school. Now she is exclusively heterosexual, it seems. By the grace of whatever, she didn't get hooked into trans back in 2016. But I wouldn't consider any of these kids to be "out of the woods" until they're at least 28. and In my limited circle of friends and acquaintances I know:
• A dear friend of mine, 57-year-old progressive father of a 21-year-old daughter who he says was likely drawn into the trans idea when she developed breasts and attracted unwanted attention from males. He thinks she was likely lesbian. His wife immediately affirmed the girl coming out as trans, and the name and pronoun changes. She is now is on testosterone and has had a double mastectomy. My friend felt that he had to affirm this, or be estranged from the family. He talks about the intense loneliness of being skeptical. I wish he'd had this book four or five years ago.
• My 19-year-old daughter's best friend, born female. The two girls met at the start of the grade 12 year of high school, and the relationship has been rocky because of this girl's mental health issues. The girl obsessively pursued my daughter romantically as a 17-year-old, and at that time, was presenting as a female. She had a meltdown over my daughter's insistence that they be platonic friends, and they were estranged for over a year. Now this girl is back in my daughter's life, with a double mastectomy, lower voice, and a beard. She just happily told me about her surgery, and how grateful she was that her wait time had been shortened because of a cancellation in the schedule. I see nothing but carnage.
• A 22-year-old young woman who began "transitioning" to male in high school, she came from a very troubled family situation, and appeared at my dinner table as an additional guest when I invited my dear friend and her son. She had changed her name to a boy's name, her voice was artificially low, and my dear friend, who has followed the girl on instagram, recently showed me photos of her proudly displaying her mastectomy scars, and then subsequent photos showing she was back to wearing fancy dresses and letting her hair grow longer. My friend assumes she is detransitioning.
• A friend of mine whose 16-year-old daughter with autism wanted to have her breasts removed. This woman was distraught that the medical system would perform the surgery on a teenager, even without Mom's consent. This was several years ago, and I saw the girl last year, talking about her creative work, dressed to accentuate her female figure, and I thought she had disisted. I just found out that at age 24, a few months ago, the girl decided to have a double mastectomy after all.
• My dear friend's son, who I watched grow up, was always a very impulsive, physical, aggressive boy. In his teen years, his father left the country, and he descended into addiction. A talented musician, he was the lead in the high school band. He treated his mother very badly, was volatile and violent, and said awful misogynistic things to my daughter, who looked up to him as a brother figure. Then, suddenly, he came out as a trans woman. The counsellor my friend brought him to immediately affirmed him, and told her, in his presence, "What would you prefer, a dead son or a live daughter?" He was combative about his pronouns and chosen name, and an arrangement was made for him to move in with his father in a country where the health authorities have suddenly done a 180º on medicalizing people who claim a trans identity. When his estrogen ran out, he would have had to jump through many hoops to access more of it, and apparently, couldn't be bothered, so has ceased. My friend has no contact with her son, and when her brother died, the boy made no contact to offer condolences, and did not attend the funeral.
• A female friend has twin daughters, one of whom insisted she was a boy from about age 3 or 4. This would be over a decade ago. Mom decided to affirm the child with her chosen male name and pronouns, dad was reluctant but got on board. There was a complete social transition by kindergarten at school, etc. I don't know for certain, but I assume there was full medicalization that began at puberty. Certainly this child currently presents as male, and I can't imagine they didn't receive the "life-saving, gender-affirming" hormones and surgery treatment.
I don't think I know a single family in my peer group that isn't dealing with some kind of profound mental health issue with one or more of their kids, and the transgender dysphoria is more common now that the nut allergies that transformed school lunch policies 15 years ago. I'm the child of two PhD biologists, and I chafe at the notion that we should talk about "pregnant people" and define lesbians as "non-male." There is a biological reality that no superficial chemical or surgical treatments can change. My own daughter is caught up in this tangentially, as a friend to girls who insist they are boys, and also because her rights as a woman are being eroded by trans activists who have hijacked the federal protections in place and marginalized biological females who deserve remedies in cases of discrimination on the basis of sex.
This book highlights the capture of once-trustworthy medical institutions like the Endocrine Society, where ideology now trumps biology, and activism thwarts scientific research. It's quite a scandal, and the irreversible damage being done to young people is not rare. It's happening over and over again in my own social circle. I'm not willing to keep quiet about it.




















