Alabama Republican Attorney General Steve Marshall led 21 other state attorneys general in a court brief defending his state’s ban on child reassignment and denouncing the World Association of Transgender Health Professionals’ (WPATH) guidance to young people who identify as transgender.

AG is from Alabama, Arkansas, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Texas, Utah, and West Virginia.

transgender activists sued the Attorney General of Alabama Lawsuits have been filed over a 2022 law banning sex reassignment surgery, sex hormones and puberty inhibitors for patients under the age of 19. The law, which went into effect on May 8, 1999, was blocked by U.S. District Judge Lyles Burke. (Related: Kentucky Gov. Andy Beshear says he opposes child sex transitions despite rejecting ban)

During the defense of this lawsuit, plaintiffs repeatedly referred to WPATH’s medical guidance for transgender people.Judge Burke gave the defendant a subpoena Some of WPATH’s internal documents related to WPATH’s process of developing guidance for transgender people, especially minors.

“Few people can think of a more radical organization to mandate the regulation of health care than WPATH,” AG et al. write in a brief.

In 2022, WPATH established standards of treatment for people with a “eunuch” gender identity, recommending hormone suppression, orchiectomy (removal of the testicles) to stop the production of testosterone, the possibility of penectomy to alter the body to fit the patient’s self-image, and hormone replacement with testosterone and estrogen. WPATH also cited information from the Eunuch Archives, an online forum containing stories of child castration, pedophilia and sexual torture.

WPATH has blocked a judge’s request for an internal document on how it developed guidelines for children who identify as transgender.

“Their credibility will plummet,” said Joseph Burgo. @genspect said to @DailyCaller of subpoena.https://t.co/uQ6mPxvEB2

— Sarah Weaver (@SarahHopeWeaver) May 5, 2023

“And, as with eunuchs, WPATH standards consider sex reassignment sterilization to be medically necessary ‘gender-affirming care’ for minors suffering from gender dysphoria,” the brief reads.

Due to the lack of medical evidence for transgender surgery, several European countries restrict certain treatments for adolescents. Britain’s National Health Service (NHS) opposed child transition in October, banned most puberty drugs and closed the only clinic offering transgender treatment to minors in July. The Norwegian Medical Research Board (NHIB/UKOM) decided in March that transgender surgery, hormones and puberty inhibitors were experimental. Finland and Sweden also found insufficient evidence that the benefits of these ‘treatments’ outweighed the costs to children.

However, WPATH recently pushed to remove the minimum age requirement for sex reassignment surgery and heterosexual hormone therapy. Amy Tischelman, one of the authors of the eighth edition of WPATH’s guidelines, said WPATH changed the guidelines so that doctors “do not get sued for not following exactly what we said.”

Medical groups have blocked efforts to expose the techniques for months, and some experts said the move, which some experts told the Daily Caller in May, showed they were hiding something.Subpoena results potentially call into question entire WPATH guidelines that form the basis of transgender health care in the United States

Leading hospitals across the country are using this guidance to build their practice of: Johns Hopkins, Stanford and Brigham and Women’s.