A New York Times article about the World Professional Association for Transgender Health’s 2022 standards of care draws on emails released by a psychologist who has compared homosexuality to pedophilia and reportedly worked on behalf of an extreme anti-LGBTQ group.



The Times piece, which claims that the Biden administration lobbied to remove explicit age limits from the guidelines, does not provide sufficient context on the psychologist's background or his reported work for Alliance Defending Freedom, a Project 2025 partner.

The article also uses outdated data to fearmonger about rising numbers of trans youth and again includes misinformation about transition care from elected officials with no fact-checking.

The Times report quotes email excerpts filed in a legal challenge to Alabama's ban on gender-affirming care from WPATH officials describing their interactions with Sarah Boateng, who then served as chief of staff to Adm. Rachel Levine, assistant secretary for health at the Department of Health and Human Services. Boateng argued at the time that listing specific age guidelines for transition surgeries would fuel more aggressive legislative efforts to ban them. 

The Times states that “the excerpts were filed by James Cantor,” whom the paper describes simply as “a psychologist and longstanding critic of gender treatments for minors.”

Cantor frequently presents himself as an expert on gender-affirming medicine and has reportedly been retained as an expert by the states in favor of West Virginia’s ban on sports participation and restrictions on health care in Texas, Florida, and Alabama. 

In the Alabama trial at the center of the Times’ reporting, Cantor also appears to have worked on behalf of Project 2025 partner and extreme anti-LGBTQ organization the Alliance Defending Freedom – a detail excluded from the Times’ report.

Project 2025 is a comprehensive transition plan for the next GOP presidential administration. Its nearly 900-page policy book labels “the omnipresent propagation of transgender ideology and sexualization of children” as “pornography” that “should be outlawed” and states that “the people who produce and distribute it should be imprisoned.” The Alliance Defending Freedom, which also works to curtail access to abortion, is one of over 100 organizations that have endorsed the document, meant to serve as a blueprint for a second Trump administration.

Cantor has a troubling resume outside of his work alongside the Alliance Defending Freedom. He was previously removed from the state of Florida’s roster of “subject matter experts” on transition care after linking homosexuality to pedophilia and stating that sexual attraction to children is “not inherently wrong.” Cantor served as member of the advisory council for Prostagia, which has campaigned against bans on sex dolls resembling children and has hosted support groups for “minor attracted people” open to adults alongside people as young as 13.

Despite Cantor’s prolific involvement in restricting opportunities for trans people, a district judge in 2022 found that he has a lack of expertise in the care of patients receiving transition care and declared that his testimony should be given “very little weight.” 

The Times also claims that “the numbers for all gender-related medical interventions for adolescents have been steadily rising as more young people seek such care.” But the data used to support this assertion ends in 2021, when many states began restricting or outlawing transition care, meaning those numbers may no longer be “rising.” 

The article also includes statements from Florida Gov. Ron DeSantis and Texas Gov. Greg Abbott characterizing transition surgeries as “disfiguring” and “genital mutilation,” respectively, with no fact-checking, a repeat of a pattern previously noted by Media Matters and GLAAD. Activists opposing female genital mutilation also say that the harmful practice should not be “hijacked for purposes to target and discriminate against vulnerable youth.”

The Times story was updated after publication to remove the detail that Marci Bowers, president of WPATH, is herself a transgender woman. While the current version of the story states that Levine is also a transgender woman, it makes no note of the gender identity of Cantor, DeSantis, or Abbott.

By Wednesday, the Times story had been picked up across Fox News, including by late-night host Greg Gutfeld, who mocked Levine's appearance and claimed that the report “proves what long-standing critics of so-called gender-affirming care have known all along.”