Brian Christine

Urology practice

After graduating from Emory University, Christine took residency at the University of Alabama at Birmingham. He joined the Urology Centers of Alabama after completing his residency. Christine's work specialized in penile implant surgery, and he published several papers on the procedures. In October 2003, Christine married Kellie Bourland. By October 2011, Christine had become the director of erectile restoration and prosthetic urology at Urology Centers of Alabama.

By 2017, Christine had established a urology practice in Birmingham, Alabama. The practice advertised itself as inclusive of gay and transgender men, and a medical conference biography stated that his practice specialized in erectile dysfunction in transgender men following gender-affirming surgery. However, in March 2025, he told The Wall Street Journal that he had never treated a transgender patient. By that month, Christine's practice employed thirty doctors. He hosted a YouTube show, Erection Connection, for urologists to learn about erectile dysfunction and a podcast, Common Sense.

Political activities

Christine is a Republican donor. In December 2021, he introduced Lynda Blanchard in her campaign announcement for the 2022 Alabama gubernatorial election. In April 2022, Christine announced a campaign in that year's Alabama Senate Republican primary election for the state's fifteenth district. The following month, the incumbent senator, Dan Roberts, defeated Christine in the primary. In May 2023, Christine stated that he would run for a seat on the Jefferson County Commission vacated by the resignation of Steve Ammons. That month, he withdrew from the election and endorsed Mike Bolin, a former Alabama Supreme Court justice. Christine donated US$8,000 to Donald Trump's 2024 presidential campaign.

Domestic issues

In his campaign for the Alabama Senate in 2022, Christine stated that he was "fiscally responsible" and advocated for libertarian conservatism. He supported school choice and opposed single-payer healthcare. Christine opposes abortion and was among several doctors who demonstrated outside the Supreme Court Building amid oral arguments in Dobbs v. Jackson Women's Health Organization (2022). He supported Alabama's abortion law, which offered no exclusion for rape or incest.

Amid the COVID-19 pandemic, Christine stated that the pandemic was used to affect the outcome of the 2020 presidential election. He suggested that "multinational large corporations and conglomerates", the financier George Soros, and the World Economic Forum sought to intentionally close small businesses in the pandemic. In a podcast, Christine stated that he had received the COVID-19 vaccine, but not successive booster doses. He opposed vaccine mandates. Christine compared the Biden administration's response to the pandemic to Nazi Germany. He supported a call from the conservative political activist Charlie Kirk to contest the results of the 2020 presidential election.

Transgender issues

Christine is critical of gender-affirming surgery and hormone manipulation. In 2021, he wrote that gender could not be changed in an article for Yellowhammer News, adding that doctors and nurses who practice medical techniques to conform to gender identity were going against their "conscience". Christine opposes transgender people in sports. He stated that, while he believed that gender dysphoria was a legitimate condition, it should be treated with corrective care, rather than affirming care.