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 Surgeon and Psychologist Defend Their Approval of Teen Gender Surgery In Court

Articles | January 19, 2026 | by Catholics for Catholics

The trial has focused on a letter a psychologist sent approving the surgery.

By Catholics for Catholics

Two health specialists told jurors that they functioned morally when they supported a mastectomy for a girl who identified as a “transgender male” when she was 16.

Their testimonies came as part of a case brought by their former patient in White Plains, New York, according to The Epoch Times.

Fox Varian, who no longer describes herself as male, has accused the doctors—psychologist Dr. Kenneth Einhorn and plastic surgeon Dr. Simon Chin—of malpractice. However, the doctors testified in court that they did not have key information when approving the mastectomy.

Up until now, the arguments in the trial have concentrated on a letter Einhorn sent Chin on Oct. 14, 2019, about two months before the surgery. In it, Einhorn approved the procedure, also known as “top surgery.”

Adam Deutsch, Varian’s lawyer, suggested the letter was filled with written inaccuracies and omissions that could have stopped Chin from going through with the surgery—but the surgeon and the psychologist never talked to each other.

Einhorn said that he was missing key information when he approved the surgery.

It was later revealed that ahead of the surgery, Varian had told specialists at the Albany Pride Center that she “felt pressure to decide” on a male identity or a female identity “by family, friends, and culture.” She also said she continued to question her gender identity but was afraid she might “lose credibility” if she discussed it with her mom.

Einhorn said that knowledge would have spurred a “big conversation,” and he might not have written the letter.

What Chin didn’t know at the time, he told the court, was that Varian was still questioning her gender only a few months prior, and had moved between using “he,” “she,” and “they” pronouns.

Had he known, Chin said he would not have performed the surgery at that time.

“Hindsight is 2020,” Chin said when asked if he still thought Varian had been a candidate for the procedure. “We can’t know the future. This is why there is a percentage” of patients who regret the surgery.”

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