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Vol. 25 - Num. 98


The trans law and the principle of primum non nocere

Celso Arango Lópeza

aServicio de Psiquiatría del Niño y del Adolescente. Director del Instituto de Psiquiatría y Salud Mental. Hospital General Universitario Gregorio Marañón. Catedrático de Psiquiatría. Universidad Complutense. Madrid. España.

Correspondence: C Arango. E-mail:

Reference of this article: Arango López C. The trans law and the principle of primum non nocere . Rev Pediatr Aten Primaria. 2023;25:e53-e55.

Published in Internet: 05-04-2023 - Visits: 5660


In recent years we are witnessing a phenomenon similar to the one we have experienced on other occasions worldwide; to the explosion of cases of minors with psychological problems, traumas, social relationship difficulties, autism spectrum disorders and other mental disorders that manifest themselves under the umbrella of trans.

Given this phenomenon, what good clinical practice dictates is prudence and patience, precisely the opposite of rushing to carry out irreversible procedures as is being proclaimed by movements that seek to perpetuate gender differences and confuse biological sex with gender identity, in an unprecedented attack on the pillars of feminism and scientific realities.

Societies must protect their minors from decisions that, due to their state of maturity, they tend to make more impulsively and less reflexively, with greater difficulties in evaluating risks and benefits or alternatives, than those same people with greater maturity. That's why we don't let them buy cigarettes or alcohol or drive until they're eighteen.


Adolescent Gender incongruity Mental disorder


*Este texto contiene algunos cambios respecto a una tribuna del autor publicada en el diario El País el 16 de enero de 2023.


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