A recent New York Times opinion piece on transgender youth has sparked debate, suggesting that many children undergo gender dysphoria surgery and later regret their transitions. Critics, including members of the trans community, argue that the piece is misleading and comparable to climate change denial tactics. As an epidemiologist, the author of a response questions the focus of the Times piece, pointing out that the real issue should be whether medical care for transitioning is beneficial overall, rather than the regret experienced by some individuals. Regret is a common part of many medical procedures, and the broader question is about the overall efficacy and benefits of transitioning treatments.