Google Search is spotlighting leftist organizations in a query asking whether gender transition surgery is an emergency medical service.
This National Emergency Medical Services Week, Google got the answer right, but it still elevated radical left-leaning sources like the Human Rights Campaign and Wikipedia. Google’s AI Gemini, which Google Search promotes at the top of its search results, ridiculously hedged in its answer: “No, gender transition surgery is generally not considered an emergency medical service in the traditional sense.” [Emphasis added].
MRC Free Speech America Director Michael Morris torched Google for its clear bias. “The term ridiculous doesn’t even begin to cover it. That Google Search would cite to one of the leading anti-science, leftist groups on sex and gender in its results betrays its obvious agenda, as the link provided from HRC did not even answer the question MRC researchers asked,” he said. “But this is just par for the course for the now, isn’t it? The search giant did its darndest to promote sources that push the leftist ideal on the ‘trans’ issue— including multiple citations to Wikipedia and an outdated, anti-scientific Biden-era screed.”
Under the “Planned Procedure” section of Google’s answer, its AI cited the Human Rights Campaign, an organization that peddles the LGBTQ agenda and pressures Big Tech companies to censor by slapping ESG-style rating scores on their businesses. The HRC article Gemini cited, which champions gender transition for minors, doesn’t even touch on whether these surgeries are “emergency” services or “planned” procedures. Instead, it buries and dismissively explains away the potential complications associated with those who wish to “change their mind” about transitioning.
Gemini doubled down, continuing to push the left’s narrative on “transition surgery.” Twice, Google steered readers to a stale Biden-era fact sheet from the Office of Population Affairs titled “Gender Affirming Care and Young People.” The search giant presented the document despite the fact that it dodges terms like “emergency,” “planned” or “elective” in reference to procedures and never mentions the word “complications” linked to emergency care.
The Trump administration even added a warning to the first page of the document, noting that it is “inaccurate” and outdated: “Per a court order, HHS is required to restore this document as of February 14, 2025, at 11:59 p.m. Any information on this page promoting gender ideology is extremely inaccurate, and disconnected from the immutable biological reality that there are two sexes, male and female. … This page does not reflect biological reality and therefore the Administration and this Department rejects it.”
Google Search results similarly elevated two different Wikipedia articles, including one headlined “Transgender health care” and another headlined “Gender-affirming surgery,” neither of which discusses whether gender transition surgeries are “elective” or “planned.”
MRC has already exposed Wikipedia’s leftist bent, favoring left-leaning media as acceptable sources while effectively blacklisting those on the right. The online encyclopedia also allowed extremely biased edits of the pages of top Trump administration officials, including Vice President JD Vance, Secretary of Defense Pete Hegseth, Director of National Intelligence Tulsi Gabbard and FBI Director Kash Patel.
The search engine even went so far as to elevate two articles that promoted “Gender Affirmation” care from Johns Hopkins Medicine and MedStar Health. Again, neither article answered the question MRC researchers asked of whether gender transition surgeries are “emergency” care or “elective” and “planned,” and neither mentioned potential “complications.”
Methodology: MRC Free Speech America researchers searched Google for the words “is gender transition an emergency medical service?" on May 15, 2025. Researchers then analyzed the results for whether they answered the question and for political bias.
Free Speech is under attack. Contact your representatives and demand that Big Tech be held to account to mirror the First Amendment and provide an equal platform for all users. If you have been censored, contact us using MRC Free Speech America’s contact form, and help us hold Big Tech accountable.
