Levine's reason was to further the progressive LGBTQ political agenda, and not for medical or scientific reasons. Levine did not want the guidance to fuel more laws prohibiting child sex changes. Dr. Marci Bowers, a trans surgeon who is president of WPATH, operated on trans reality star Jazz Jennings (telling Jennings that the new neo-vagina was so pretty Jennings could be in porn) rejected the claims of political pressure.
"It wasn't political," Bowers said, "the politics were already evident. WPATH doesn't look at politics when making a decision." Bowers also said that as a surgeon, Bowers has had no patient who went on puberty blockers, then onto cross sex hormones, who was able to achieve an orgasm as an adult.
