A pro-transgender university surgeon says he is performing irreversible sex surgeries on pre-pubescent children who have had no experiences of sexual feelings and little ability to consent or accomplish the required post-surgical procedures.

“It’s a very complicated issue,” Dr. Blair Peters, a Canadian-trained “queer” surgeon at Oregon Health & Science University, told a friendly interviewer. “But I think definitely something that we’re going to learn a lot more about in the next five to 10 years as we’re doing just increasing numbers of these cases,” Blair said in the now-archived video.