Across Europe, health authorities have pulled back from fast-tracking minors into irreversible medical transitions. […]

And yet, here in Canada, and in British Columbia, the accelerator remains pressed to the floor.

The Numbers We’re Not Supposed to See
Between 2018 and 2023, at least 300 minors in Canada (outside Quebec) underwent double mastectomies—healthy breast removal surgeries—at ages as young as 14. That is roughly one child every six days. Thousands more were placed on puberty blockers or cross-sex hormones, though national data is obscured by design. British Columbia […] likely accounts for a significant share of these interventions.

[…] B.C. continues to align itself with the World Professional Association for Transgender Health (WPATH)—an organization whose leaked internal documents reveal knowledge of harm and lack of evidence, but a continued push for medicalization anyway.

The Money Trail
In B.C., gender-affirming care is not only permitted—it is incentivized. All treatments are fully funded under the provincial health plan. […] The system rewards affirmation. Clinics and outpatient surgical centres that are contracted to deliver publicly funded care can schedule full days of chest surgeries without question, often with long waitlists of youth lined up for their turn.

Inside the Operating Room: What a B.C. Anesthesiologist Reported
Recently, an anesthesiologist working with a Vancouver-area private surgical centre described the following:

- Throughput: the centre can perform up to ten double mastectomies in a single day, including on patients as young as 14.
- Payment differential: for breast removal due to cancer, the clinic is paid roughly $400; for the same operation performed for gender reasons, the clinic is paid roughly $1,400 by government.
- Workforce ethics: some nurses refuse to participate in these pediatric gender cases, but the surgeries proceed regardless.