One week after trans surgery, “male chest reconstruction.” Charles Hutchins, London, United Kingdom, CC BY 2.0, via Wikimedia Commons.
“Someone with XY chromosomes cannot be a female. Someone with testicles does not have ovaries. They are not a female,” said Dr. Bruce Woodall, a rural family physician and Christian who spends half the year volunteering as a doctor and teacher in Burma. His words were simple, and the concept so fundamental, that it seems unimaginable such discussions need to be had today. Yet supporters of trans ideology have chosen to ignore biological reality.
“These are things people might believe are true, but the truth is they are demonstrably false. Being born with XY chromosomes and testicles and believing you’re a female is a delusion. It’s not true,” continued Dr. Woodall. Now 63, he explained that when he attended medical school, students were taught to recognize biological reality.
Dr. Woodall said that when he was in medical school four decades ago, students were taught to understand gender dysphoria as a disorder of thinking, something that required helping patients return to truthful and accurate perception. At that time, he explained, doctors were expected to address the underlying cognitive problem rather than affirm a false belief about sex.
“We would have been taught 40 years ago that their problem was a problem of thinking,” he said. “They had a disease of thinking and we needed to focus on helping them think correctly, rightly, and truthfully.”
He contrasted that training with what physicians are instructed to do today. Instead of treating the underlying disorder, he said, the medical establishment now tells doctors to affirm the false belief itself.
“Now we’re told that their reality is that they think they’re a woman and they’re a male,” he said, adding that physicians are now professionally pressured to support what would once have been recognized as a delusion rather than treat it.
He explained that conditions long understood as psychiatric, emotional, or mental disorders are now reframed as identities, and the recommended response has shifted accordingly. “Now we’re being told to treat this psychiatric disorder, these delusions, with surgery and hormones,” he said.
In an article he published, Dr. Woodall describes a clinic encounter with a vulnerable 14-year-old girl named Jessica who had begun to believe she might be transgender after pressure from older peers and influence from the internet.
He explains that during their conversation he spoke calmly with her about biological sex, emphasizing that sex is determined by chromosomes present in every cell of the body and cannot be changed by hormones, surgery, or self-identification. He contrasted the temporary insecurities of adolescence with the permanent physical harm caused by medical interventions that promise a “sex change” but cannot deliver one.
In the article, Dr. Woodall argues that children like Jessica often struggle with social pressure, trauma, or developmental challenges, making them especially vulnerable to transgender messaging that presents itself as an easy solution to discomfort. He concludes that young people need attentive and rational adults who can offer clarity and reassurance, grounding them in the reality and goodness of their own bodies rather than affirming an ideology that leads them toward irreversible medical harm.
In our interview, Dr. Woodall explained that adolescents are often confused, insecure, and searching for identity, and what they do not need are adults suggesting that their discomfort means they were “born in the wrong body.” He said this claim has no grounding in medicine or psychiatry, and that it is an ideological construct rather than a diagnosable condition.
“What our adolescents don’t need is people telling them, ‘Maybe the reason you’re feeling these things is because you were born in the wrong body.’ There is no identifiable medical condition or psychiatric condition of being born in the wrong body. That is a construct. It’s an ideology. It doesn’t exist,” he said.
He then used sports to illustrate the biological realities that society has long recognized. As a 63-year-old who still competes athletically, he noted that age categories exist because older athletes cannot realistically compete with men in their twenties. He added that weight classes in martial arts and boxing reflect the same principle: no one would argue that a 100-pound man should be matched against a 250-pound man.
“That’s simply recognizing physical reality,” he said. “In sports, men and women should be separated for the same reasons. They are different. And it destroys the competitive opportunities for women when men enter their sports.”
He concluded the point plainly: “Men should be defined as someone with a Y chromosome.”
In another article, Dr. Woodall uses the case of athlete Caster Semenya and others with rare intersex conditions to explain that biological sex is determined at conception by XX or XY chromosomes and cannot be altered by identity or hormone manipulation. He notes that conditions such as 5-alpha-reductase deficiency or Swyer Syndrome can produce ambiguous traits in childhood but ultimately lead to male puberty, creating athletic advantages that make competition against XX females inherently unfair.
“These conditions can look confusing early in life, but puberty reveals the biological truth,” he wrote, adding that male puberty produces permanent physical changes that no hormone regimen can undo.
Woodall points to recent controversies, including XY athletes competing in women’s boxing and powerlifting, as examples of governing bodies prioritizing inclusivity over biological reality, allowing competitors with male physiology to dominate women’s sports. He argues that testosterone suppression policies and hormone-based eligibility rules ignore the irreversible effects of male puberty, which establishes male muscle mass, bone structure, and cardiovascular capacity.
“Once male puberty occurs, the advantages are baked in,” he explained. “You can suppress testosterone, but you cannot reverse the structural changes that make competition against XX women unfair and unsafe.”
He concludes that fair competition requires genomic verification, simple chromosome testing, and that women’s sports must remain restricted to athletes with XX karyotypes to preserve safety, fairness, and adherence to biological reality.
Part of gender ideology is the belief that people can choose to be male or female and that they will be happiest if they select their “real” gender rather than the one they are born with. Dr. Woodall explained how dangerous this construct is and offered one of the clearest examples of how such thinking leads to profound unhappiness and even death.
In a third article, and again in our interview, Woodall recounted the tragic story of David Reimer, a boy whose botched circumcision in 1966 prompted psychologist John Money to convince his parents to raise him as a girl in an untested attempt to prove that gender identity is socially constructed. Woodall described how Money insisted on castration, surgery, and years of enforced “feminine” upbringing, all while claiming the experiment was a success.
“Despite everything they did to him, David consistently showed male traits,” Woodall said. “He was never comfortable living as a girl.”
Reimer, called Brenda during childhood, suffered severe depression, resisted further procedures, and ultimately reclaimed his male identity at fourteen. Meanwhile, Money continued to publish the case as proof that gender could be reassigned, influencing decades of medical teaching and early sex-reassignment practices on children with intersex conditions.
The truth did not emerge until the late 1990s, when researchers Milton Diamond and Keith Sigmundson exposed Money’s deception and revealed the psychological trauma inflicted on both David and his twin brother. Both later committed suicide.
Woodall argues that the Reimer case demonstrates the dangers of early gender reassignment, the ideological bias that shielded Money’s theories from scrutiny, and the urgent need for caution, open debate, and accountability as similar practices reappear today under the banner of “gender-affirming care.”
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