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[ Editor's Note: Chryste Gaines, MBA, Olympic gold and bronze medal sprinter and former teammate of Marion Jones in the 2000 Sydney Olympic Games, stated the following in a Dec. 22, 2008 email to in response to the IOC ruling:

"We are being unfairly punished. If the drug testing agencies cannot determine if an athlete is taking performance enhancing drugs how are the teammates supposed to know?... It negates all the family functions, church functions, and social events we missed in the name of winning an Olympic medal." ]

It has overwhelmingly demonstrated that affirming medical care is effective and of material clinical benefit to individuals with gender dysphoria. Follow-up studies have shown an undeniable beneficial effect of sex-reassignment surgery on postoperative outcomes such as subjective well-being, cosmesis, and sexual function (DeCuypere et al. , 2005; Gijs & Brewaeys, 2007; Klein & Gorzalka, 2009; Pfafflin & Junge, 1998). GRS has also been found to lead to a quantitative decrease in suicide attempts and drug use in post-operative populations (C. Mate-Kole et al. , 1990). In studies where affirming care was denied, patients showed significantly worse outcomes (Ainsworth and Spiegel, 2010; C. Mate-Kole et al. , 1990).

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