In 2022 the RCH gender clinics ‘Australian Standards of Care and Treatment Guidelines’ were submitted to be posted on the NHMRC online portal for the Australian Clinical Practice Guidelines the NHMRC refused to include them as they failed to meet ‘the basic portal selection criteria’.
With the NHMRC preparing to release its interim advice on puberty suppression for public consultation in late 2026 RCH is facing a situation where its internal, unapproved guidelines will be measured against a rigorous, independent GRADE evaluation. For a public institution built on clinical prestige, this transition represents an imminent administrative and legal crisis.
Now just wait until the Medical Services Advisory Committee (MSAC) Decision 1754 - 'Surgical Procedures for Gender Affirmation in Adults with Gender Incongruence' is handed down.
In a submission by plastic surgeons, the MSAC is deciding what 'packages' of surgery are going to be offered on Medicare. Option 1 of the meal deal menu for men is Genital surgery, facial feminisation surgery and breast augmentation. Option 2 is Genital surgery, facial feminisation surgery, breast augmentation, tracheal shave and voice surgery.
No fries are offered.
Of course, the only surgery that would truly work would be a brain transplant from a person with no history of childhood abuse, no addiction issues, no exposure to ideological lies and a basic knowledge of biology.
A very good question. I believe there is a ‘Wild Card’ option being considered that is a fun alternative to traditional genitalia surgery or breast enhancement. Size would be a part of that but also species selection.
I will enquire as to the cost variants of this. Are there any particular size or species variants that interest you? I could then suggest they become a part of the MSAC meal-deal options.
Excellent work Experts.
I have just looked up Triptorelin on the PBS site and the administrative note is nowhere to be seen.
Maybe the PBS will allow an interval for all the kids to get their supply before adding the note!
There is an air of improvisation about all this.
In 2022 the RCH gender clinics ‘Australian Standards of Care and Treatment Guidelines’ were submitted to be posted on the NHMRC online portal for the Australian Clinical Practice Guidelines the NHMRC refused to include them as they failed to meet ‘the basic portal selection criteria’.
HAVE THE POPCORN READY
With the NHMRC preparing to release its interim advice on puberty suppression for public consultation in late 2026 RCH is facing a situation where its internal, unapproved guidelines will be measured against a rigorous, independent GRADE evaluation. For a public institution built on clinical prestige, this transition represents an imminent administrative and legal crisis.
Well, Vincent, I hope the NHMRC process turns out to be honest & rigorous. We shall see. B
Looking at the composition of The Guidelines Development Committee I don’t hold up much hope for that.
Now just wait until the Medical Services Advisory Committee (MSAC) Decision 1754 - 'Surgical Procedures for Gender Affirmation in Adults with Gender Incongruence' is handed down.
In a submission by plastic surgeons, the MSAC is deciding what 'packages' of surgery are going to be offered on Medicare. Option 1 of the meal deal menu for men is Genital surgery, facial feminisation surgery and breast augmentation. Option 2 is Genital surgery, facial feminisation surgery, breast augmentation, tracheal shave and voice surgery.
No fries are offered.
Of course, the only surgery that would truly work would be a brain transplant from a person with no history of childhood abuse, no addiction issues, no exposure to ideological lies and a basic knowledge of biology.
That person is hard to find these days.
Phil,
Does Option 1 provide options as to 'size' and are there cost variations accordingly?
A very good question. I believe there is a ‘Wild Card’ option being considered that is a fun alternative to traditional genitalia surgery or breast enhancement. Size would be a part of that but also species selection.
I will enquire as to the cost variants of this. Are there any particular size or species variants that interest you? I could then suggest they become a part of the MSAC meal-deal options.
Phil
Largish!
Still no administrative note. This is approaching an outright lie.
Is this where you would expect to see it? https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2010-PI-06417-3&d=20260929172310101
No. PBS.gov.au
and you then search for the drug and look for the restrictions