Vinay Prasad is an American physician and anti-transgender activist. Prasad has attacked the American Academy of Pediatrics and has published other anti-trans activists, including J. Michael Bailey, Aida Cerundolo, and Benjamin Ryan.
Background
Vinayak “Vinay” Kashyap Prasad was born in December 1982 to Ram and Padma Rasad and grew up outside Cleveland, Ohio. Prasad earned a bachelor’s degree from Michigan State University in 2005, then earned a medical degree from University of Chicago in 2009, followed by a residency at Northwestern University.  Prasad earned a master’s degree from Johns Hopkins University in 2014, followed by a a fellowships in oncology at the National Cancer Institute and hematology at the National Heart, Lung, and Blood Institute.
Prasad was a professor at the Oregon Health & Science University from 2015 to 2020, then took a position at University of California, San Francisco. In 2021, Prasad compared U.S. COVID-19 pandemic response to the beginnings of Adolf Hitler’s Third Reich. This and other views led to interest fromconservatives and from the Trump Administration. Prasad left UCSF to work at FDA in 2025 as Chief Medical and Scientific Office and director of the Center for Biologics Evaluation and Research (CBER). In May 2025, Prasad and FDA Commissioner Marty Makary published an article in The New England Journal of Medicine announcing that FDA would limit COVID-19 vaccines to people over 65 or at high risk of serious illness. Prasad lasted only three months at FDA.
Anti-trans activism
Prasad has attacked the American Academy of Pediatrics “due to overconfidence; making recommendations when the right action would be to express uncertainty and support efforts to collect better data.” This echoes attacks on AAP by opponents of gender-affirming care for minors.
âThe reason to trust modern doctors over ancient healers is that more of what we tell you to do is justified by well-done studies. But how do we hold that perch when we just make stuff up?â
Prasad edits the group blog Sensible Medicine with John Mandrola and Adam Cifu. Frequent contributors include anti-trans psychiatrist Sally Satel.
The 2025 US HHS report attacking gender-affirming care for minors quotes from the 2015 book Ending Medical Reversal by Prasad and Cifu to suggest that current medical consensus on that care is a “fad”: “You might be worried that some medical practices are nothing more than fads. In some cases, you would be right.”
References
Sax, Paul E. (August 2, 2025). The Short Political Half-life of a Medical Contrarian. NEJM Journal Watch https://blogs.jwatch.org/hiv-id-observations/index.php/the-short-political-half-life-of-a-medical-contrarian/2025/08/02/
Lowe, Derek (July 30, 2025). Vinay Prasad: That Was Fast. Science https://www.science.org/content/blog-post/vinay-prasad-was-fast
Jewett, Christina (July 29, 2025). Top F.D.A. Official Resigns Under Pressure. New York Times https://www.nytimes.com/2025/07/29/health/vinay-prasad-fda-resigns-loomer.html
Levine, Dan; Steenhuysen, Julie (May 7, 2025). US FDA names agency critic Vinay Prasad as top vaccine official. https://www.reuters.com/business/healthcare-pharmaceuticals/us-fda-names-agency-critic-vinay-prasad-top-vaccine-official-2025-05-06/
Terry, Lynne (September 7, 2017). Dr. Vinay Prasad, OHSU’s iconoclastic oncologist, calls out shoddy medicine. The Oregonian https://www.oregonlive.com/health/2017/09/dr_vinay_prasad_ohsus_iconocla.html
Coverage in anti-trans press
Sibarium, Aaron (December 7, 2022). The Hijacking of Pediatric Medicine. The Free Press https://www.thefp.com/p/the-hijacking-of-pediatric-medicine alt url at The Free Beacon https://freebeacon.com/coronavirus/the-hijacking-of-pediatric-medicine/
- Excerpted as Sibarium, Aaron (December 7, 2022). Pediatric group says kids should talk to their parents about tattoos â but not puberty blockers. New York Post https://nypost.com/2022/12/07/pediatric-group-says-kids-should-not-talk-to-parents-about-puberty-blockers/
Sapir, Leor (Winter 2022). âTrust the Expertsâ Is Not Enough: U.S. Medical Groups Get the Science Wrong on Pediatric âGender Affirmingâ Care. Manhattan Institute https://media4.manhattan-institute.org/sites/default/files/how-to-respond-to-medical-authorities_claiming_gender_affirming_care_safe.pdf
Selected anti-trans writing published by Prasad
Bailey, Michael (September 29, 2024). The Rapid Ideological Retraction of a Scientific Article on Rapid OnsetâGender Dysphoria. Sensible Medicine https://www.sensible-med.com/p/the-rapid-ideological-retraction
Barnes, Elizabeth (June 25, 2024). Sex, Gender, and Language in Public Health Communication. Sensible Medicine https://www.sensible-med.com/p/sex-gender-and-language-in-public
Ryan, Benjamin (November 2023). Pediatric Gender Medicine: Dispatches From a Deceptive Medical Field. Sensible Medicine https://www.sensible-med.com/p/pediatric-gender-medicine-dispatches
- Lipfert, Colton; Ryan, Benjamin (November 21, 2024). Pediatric Gender Medicine: Lipfert replies, Ryan responds. Sensible Medicine https://www.sensible-med.com/p/pediatric-gender-medicine
Curlin, Farr (July 23, 2023). Medicalized Gender Transition and the Silence of Medicine and Bioethics. Sensible Medicine https://www.sensible-med.com/p/medicalized-gender-transition-and
Cerundolo, Aida (January 04, 2023). What Happens in Classrooms Shouldnât Stay in Classrooms. Sensible Medicine https://www.sensible-med.com/p/what-happens-in-classrooms-shouldnt
Prasad, Vinay (August 27, 2022). The AAP (American Academy of Pediatrics) is broken, failed organization. Sensible Medicine https://www.sensible-med.com/p/the-aap-american-academy-of-pediatrics
Prasad, V., Vandross, A., Toomey, C., Cheung, M., Rho, J., Quinn, S., Chacko, S. J., Borkar, D., Gall, V., Selvaraj, S., Ho, N., & Cifu, A. (2013). A Decade of Reversal: An Analysis of 146 Contradicted Medical Practices. Mayo Clinic Proceedings, 88(8), 790â798. https://doi.org/10.1016/j.mayocp.2013.05.012
Books
Prasad, Vinayak K (2020). Malignant: How Bad Policy and Bad Evidence Harm People with Cancer. Johns Hopkins University Press, ISBN 978-1421437637
Prasad, Vinayak K.; Cifu, Adam S. (2015). Ending Medical Reversal: Improving Outcomes, Saving Lives. Johns Hopkins University Press, ISBN 978-1421417721
Media
Vinay Prasad MD MPH (August 27, 2022). American Academy of Pediatrics is Broken, Failed, Political Organization. https://www.youtube.com/watch?v=3IVewD8voYQ
Vinay Prasad MD MPH (July 17, 2024). Elon Musk Moves Space X/X from Cali b/c Newsom signs bill re transgendered kids| I analyze AB1955. https://www.youtube.com/watch?v=AdXaX7fYyr0
Resources
Wikipedia (en.wikipedia.org)
Substack (substack.com)
- vinayprasadmdmph
- Vinay Prasad’s Observations and Thoughts
- vinayakkprasad.com
- Drug Development Letter
- drugdevletter.com
- Senisble Medicine
- sensible-med.com
VK Prasad Laboratory (vkprasadlab.com)
Plenary Session (plenarysessionpodcast.com)
X/Twitter (x.com)
YouTube (youtube.com)
Patreon (patreon.com)
Instagram (instagram.com)
UCSF (ucsf.edu)
- Vinayak Prasad, MD, MPH
- profiles.ucsf.edu/vinayak.prasad
LinkedIn (linkedin.com)
Wiley Online Library (onlinelibrary.wiley.com)
- Vinayak Kashyap Prasad, MD MPH CV
- https://onlinelibrary.wiley.com/pb-assets/CV%20Vinay%20Prasad_June%2023,%202023-1689257743.pdf