We, the New Thread volunteers, previously published an Open Letter of Complaint against the Xiao Procesure on February 25, 2010, and sent it to some U. S. authorities via our representative []. Since then, the Office of Research Integrity (ORI) of Department of Health and Human Services had replied and declined to investigate, citing without jurisdiction and lack of specific allegations. On the other hand, the Office for Human Research Protections (OHRP) recently have decided to take actions, and have initiated an evaluation on the ongoing clinical trials in the US.

In this letter, we intend to give an update on more recent developments related to Dr. Xiao Chuanguo and his procedure. We will also present newly-uncovered evidence that would have precluded the clinical trials and the practising of the procedure. We call for a serious investigation into the Xiao's procedure and any misconducts that might have occurred during its research and implementation in the US and elsewhere of the world.

Section 1: Litigations and cristisms against Dr. Xiao and his procedure in China, and an "open letter"

1.1 Dr. Xiao has been convicted of masterminding two violent attacks on his critics, and has been sentenced to a five and a half months term in jail.

Police investigation revealed that Xiao paid one of his relatives to hire thugs to attack Mr. Fang Xuanchang and Dr. Fang Zhouzi in revenge of their reports on his fraudulent procedure. Three thugs staged a deadly attack to Mr. Fang Xuanchang, the journalist who published a series of investigative reports on Xiao′s fraudulent procedure. The same group of mobs ambushed Dr. Fang zhouzi in daylight with chemical spray, hammer and metal pipe, after months of spying and stalking. Dr. Fang narrowly escaped the attack with minor injuries.

The ugly episode shocked the public, the scientfic community, the media and some Chinese authorities. The Ministry of Science and Technology condemned Xiao's "vicious misconduct and lack of integrity". The Chinese Association for Science and Technology declared their firm support for Dr. Fang. The scandal has also gained world-wide attention and featured in major international media [].

1.2 A growing number of victims of Xiao's procedure are planning lawsuits against Dr. Xiao and his private hospital where he and others have performed the operations.

The number now tops three hundred. The patients′ efforts are beening helped by public donation and human right lawyers' support. Dr. Xiao owns 30% of the shares of the private hospital and is its legal representative.

As was reported in our previous open letter, most of the patients had been lured into taking the operation by false information presented by Xiao and his associates in the hospital. Recent developments further revealed that the three much-boasted ¨successful¨ cases, Little ShanShan, the ¨crawling girl¨ and the ¨earthquake hero, were fake as well.

1.3 In the wake of the attacks, the Chinese Medical Association had convened the experts in related fields for a meeting to re-evaluate the procedure. Six top urologists in China have urged an immediate ban on the unapproved practice. An investigation led by the Ministry of Health of China is underway.

1.4 In the name of "International Academic Community", thirty-four scientists, most of them urologists involved in the clinical trials of the procedure, issued an open letter in support of Xiao, addressed to the Minister of Health and the president of Xiao's university. The letter appeared online at the time when the video of Dr. Xiao's confession was released by the police in response to the rumor that he might be framed.

In the letter, the authors urged "the Chinese government and authorities to treat Dr. Xiao fairly and to protect his human rights", which is fair, except for the doubtful reasons: the "scientific and humanitarian contributions" of Dr. Xiao. In the letter, they showed not the slightest sympathy to the victims or condemnation to the criminals. They disregarded the substantial evidence that Dr. Xiao, a "compassionate man" in their eyes, had treated hundreds of innocent patients as lab rats, evidence that should have been utmostly apparent to them being scientists. They disregarded the fact that Dr. Xiao, the "incredible gentleman []", had been endlessly slandering, cursing, threatening his critics in the past 10 years []. Most astonishingly, they even maliciously accused the victims of Xiao of "self-directing-and-self-acting" the crime []. In our opinions, the letter was extremely irresponsible, and has been motivated by self-interests, even though poised to represent the ¨international academic community¨.

The open letter also deliberately tried to misguide the public's opinions about the Xiao's procedure, as we will point out below.