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The Washington Post headline treats a single-clinic, self-report survey as settled evidence that early hormone therapy is low-regret and therefore appropriate for minors. It is not. Researchers at the University of Texas Southwestern surveyed 376 former patients who began testosterone or estrogen as youth. Mean start age was roughly 16. Mean time since initiation was 4.9 years. Of those who returned a Decision Regret Scale score, 96.8 % said the decision was right, 2.7 % reported regret, and 1.9 % reported perceived harm. Higher scores appeared among those who had stopped hormones and among nonbinary respondents. That is the entire positive claim. It rests on observational, self-reported data from people still reachable by the same clinic that prescribed the treatment. There is no control group of youth with comparable distress who received exploratory therapy, watchful waiting, or no medical intervention. There is no hard outcome on bone density, fertility, sexual function, or completed suicide. Non-response is material; those who remain engaged with the affirming clinic and the identity are more likely to answer. The follow-up window is short relative to the lifelong effects of cross-sex hormones. This is the same evidence-hierarchy failure the Cass Review documented and that Finland, Sweden, Norway and Denmark have already corrected. Historical cohorts showed high rates of desistance before the affirmative model became dominant. Modern presentations carry high rates of autism, trauma, depression and same-sex attraction. Register-based Finnish data tracking every referral under age 23 showed specialist psychiatric contacts rising after referral and medical intervention, not falling. Short-term satisfaction reports from affirmative clinics have repeatedly been used to license more affirmation while the longer, harder endpoints were treated as secondary. A five-year snapshot of self-selected respondents does not close the file on irreversible medicalization of minors. It does not override the absence of controlled data or the European systematic-review conclusions that rated the evidence for routine puberty blockers and hormones as very low quality. Correlation between affirmation and reported satisfaction is not causation. Other factors,concurrent therapy, social reinforcement, expectation, or the simple fact that those who stopped were more likely to report regret, remain uncontrolled. The test is the same one applied to any other irreversible intervention on a developing body: named primary outcomes, adequate follow-up, controls for comorbidity, and a willingness to record the result when it does not confirm the prior policy. This survey does not meet that test. Evidence before narrative. Citizens first. One law for all. π ≈ 3.14159 Barry E. Sharp 🇨🇦 Truth Marker: π ≈ 3.14159. @BarryESharp 🇨🇦 Keep the score yourself. The public register lists each test with what counts as a pass, the date it is scored and who owns it: citizenheldrecord.github.io/… (mirror: codeberg.org/citizen-held-re…)