The state’s ban on gender-affirming pediatric care “cannot be justified” by science, a two-year review concluded.
Madison PaulyMay 27, 2025, 3:00 pm EDT
Spencer Cox of Utah answers a question during a discussion about how our society can learn to disagree in a way that allows us to find solutions on Wednesday, Nov. 15, 2023. | Logan Newell/The Coloradoan / USA TODAY NETWORK
In 2022, Utah Gov. Spencer Cox was the rare Republican governor who seemed to truly care about the well-being of transgender kids. “I don’t understand what they are going through or why they feel the way they do. But I want them to live,” he wrote in a letter that year, explaining why he was vetoing a bill that would have banned four trans middle- and high schoolers in Utah from playing on sports teams with classmates who shared their gender identity. “All the research shows that even a little acceptance and connection can reduce suicidality significantly.”
Meanwhile, nationally, Republican politicians were making opposition to trans rights a core tenet of their platforms, filing hundreds of bills attacking trans kids at the doctor’s office, at school, and on the field. Early in the 2023 legislative session, Cox capitulated, signing a bill that placed an indefinite “moratorium” on doctors providing puberty blockers and hormone therapy to trans kids with gender dysphoria. The bill ordered the Utah health department to commission a systematic review of medical evidence around the treatments, with the goal of producing recommendations for the legislature on whether to lift the moratorium. “We sincerely hope that we can treat our transgender families with more love and respect as we work to better understand the science and consequences behind these procedures,” Cox said at the time.
Now, more than two years later, that review is here, and its conclusions unambiguously support gender-affirming medical care for trans youth. “The conventional wisdom among non-experts has long been that there are limited data” on gender-affirming pediatric care, the authors wrote. “However, results from our exhaustive literature searches have lead us to the opposite conclusion.”
The medical evidence review, published on Wednesday, was compiled over a two-year period by the Drug Regimen Review Center at the University of Utah. Unlike the federal government’s recent report on the same subject, which was produced in three months and criticized gender-affirming pediatric treatments, the names of the Utah report’s contributors are actually disclosed on the more than thousand-page document.
The authors write:
The consensus of the evidence supports that the treatments are effective in terms of mental health, psychosocial outcomes, and the induction of body changes consistent with the affirmed gender in pediatric [gender dysphoria] patients. The evidence also supports that the treatments are safe in terms of changes to bone density, cardiovascular risk factors, metabolic changes, and cancer…
It is our expert opinion that policies to prevent access to and use of [gender-affirming hormone therapy] for treatment of [gender dysphoria] in pediatric patients cannot be justified based on the quantity or quality of medical science findings or concerns about potential regret in the future, and that high-quality guidelines are available to guide qualified providers in treating pediatric patients who meet diagnostic criteria.
In a second part of their review, the authors looked specifically at long-term outcomes of patients who started treatment for gender dysphoria as minors:
Overall, there were positive mental health and psychosocial functioning outcomes. While gender affirming treatment showed a possibly protective effect in prostate cancer in transgender men and breast cancer in transgender women, there was an increase in some specific types of benign brain tumors. There were increased mortality risks in both transgender men and women treated with hormonal therapy, but more so in transgender women. Increase risk of mortality was consistently due to increase in suicide, non-natural causes, and HIV/AIDS. Patients that were seen at the gender clinic before the age of 18 had a lower risk of suicide compared to those referred as an adult.
Submitted with the review was a set of recommendations—compiled by advisers from the state’s medical and professional licensing boards, the University of Utah, and a Utah non-profit hospital system—on steps the state legislature could take to ensure proper training among gender-affirming care providers, in the event it decides to lift the moratorium.
But according to the Salt Lake Tribune, legislators behind the ban are already dismissing the findings they asked for. In response to questions from the Tribune, Rep. Katy Hall, who co-sponsored the 2023 ban, issued a joint statement with fellow Republican state Rep. Bridger Bolinder, the chair of the legislature’s Health and Human Services Interim Committee, that dismissed the study’s findings. “We intend to keep the moratorium in place,” they told the Tribune. “Young kids and teenagers should not be making life-altering medical decisions based on weak evidence.”
Why ignore their own review? Polling, the legislators’ statement suggests. “Utah was right to lead on this issue, and the public agrees—polls show clear majority support both statewide and nationally,” Hall and Bolinder added in their statement. “Simply put, the science isn’t there, the risks are real, and the public is with us.”
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“In almost every single case, the reason was anti-trans discrimination in the form of pressure to ‘detransition’ from one’s family, friends, or community.”
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A report on the largest survey ever of trans Americans’ health was released on Wednesday, June 11, and its findings reaffirmed what many academics, health care providers and trans people already know: gender-affirming care saves and improves lives, but transphobia often dissuades people from pursuing or continuing it when they need it most.
Over 84,000 trans, nonbinary and gender nonconforming people aged 18 and up responded to the 2022 U.S. Transgender Survey, spearheaded by Advocates for Trans Equality (A4TE). Of respondents who had transitioned, 9% had gone back to living as their sex assigned at birth at some point in their lives, at least for a short while—but in almost every single case, the reason was anti-trans discrimination from one’s family, friends, or community.
“Social and structural explanations dominated the reasons why respondents reported going back to living in their sex assigned at birth at some point,” the report found. “Only 4% of people who went back to living in their sex assigned at birth for a while cited that their reason was because they realized that gender transition was not for them. When considering all respondents who had transitioned, this number equates to only 0.36%.”
Meanwhile, respondents who received gender-affirming hormone therapy (GAHT) or gender-affirming surgery overwhelmingly reported feeling “more satisfied” with their lives—98% and 97% respectively.
Graphic courtesy of the 2022 U.S. Transgender Survey – Health and Wellbeing Report
This watershed report contradicts the popular narrative being circulated by mainstream media, far-right politicians and anti-trans groups that transgender people are “detransitioning” en masse due to life-shattering “transition regret.” In reality, it shows gender diverse people are living rich and vibrant lives—so long as they are provided the space, support and care they need from their health care providers and communities.
The survey found a trans person’s overall health and wellbeing also heavily depends upon rates of familial support, a factor that has a profound influence over a trans person’s lifetime experience of suicidality.
Graphic courtesy of the 2022 U.S. Transgender Survey – Health and Wellbeing Report
The survey has been released in increments as researchers at A4TE wade through the unprecedented amounts of data from trans people who lent their voice to the project. It is a much-needed, comprehensive overview on the challenges—and victories—seen in trans health care since the prior iteration of the study. The report is especially vital considering the Trump Administration moved to remove transgender people from the U.S. Census and other government websites, rendering trans communities potentially invisible, and robbing researchers of crucial data informing public policy decisions.
“Having real concrete and rigorous data about the realities of trans people’s day-to-day lives is also a vital part of dispelling all of those assumptions and stereotypes that plague the public discourse about our community,” said Olivia Hunt, A4TE’s Director of Federal Policy, during a press briefing this week.
The report also touched upon trans people’s access to health care, which increased between 2015 and 2022; the quality of care, as trust between doctors and trans patients has improved; disparities between trans people across racial groups, which showed trans people of color are generally more prone to experience discrimination compared to white trans people; and the mental health challenges facing the trans community, as 44% of respondents met the criteria for serious psychological distress, compared to less than 4% of the general U.S. population.
Many of these issues have likely been exacerbated since the data was collected. The lead-up to President Donald Trump’s return to the Oval Office incited a new wave of anti-trans animus, impeding access to care and stirring up transphobic vitriol and harassment.
“From 2015 to 2022, state-level policy environments became more protective in some ways for trans people; however, in 2022 alone, when the USTS was administered, 315 anti-LGBTQ bills were introduced across the country, many of which harm trans and nonbinary people’s access to healthcare, participation in sports, access to public facilities, or other facets of public life,” the report says.
“This political landscape has only worsened since the administration of the 2022 USTS, with the introduction of 571 anti-LGBTQ nationwide in 2023 and 489 in 2024,” it continues. “At the time of writing, data on trans and nonbinary people has been erased from federal health surveys. As funding for LGBTQ research is stripped away, the USTS has become an ever more critical resource on the lived experiences of trans and nonbinary people.”
Nonetheless, trans life and trans joy has persisted, as testimonies featured in the U.S. Trans Survey demonstrate.
“I have thrived in the past 12 months in transition, I have a genuine smile on my face most days & laugh with genuine joy,” wrote Charlotte, a trans woman, in her survey response. “I have grown into the woman I was meant to be.”
And as Roo, a nonbinary person, wrote: “Once I learned what it meant to be trans, I never looked back. I traded in my Regina George-esque life for a future with a balding head and a predisposition for a beer gut. I’ve never been more happy to be alive—every single day. ”
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May 23, 2025, 3:13 PM EDT; Updated: May 23, 2025, 3:35 PM EDT
Allie Reed
Correspondent
A large transgender flag with signatures and messages during a protest.
Photographer: Manaure Quintero/Bloomberg
The Trump administration must republish two Harvard Medical School professors’ papers it censored because they contained words related to gender ideology, a federal judge ruled Friday.
“The plaintiffs are likely to succeed in proving that the removal of their articles was a textbook example of viewpoint discrimination by the defendants in violation of the First Amendment,” Judge Leo Sorokin wrote for the US District Court for the District of Massachusetts.
The US Department of Health and Human Services took down peer-reviewed articles by doctors Gordon Schiff and Celeste Royce from the now-inactive Patient Safety Network website, run by the HHS’s Agency for Healthcare Research and Quality.
PSNet said the articles were taken down in accordance with President Donald Trump’s executive order directing agencies to remove content that promotes “gender ideology.” Schiff’s article, on suicide risk assessment, and Royce’s, on endometriosis, both referenced transgender people.
“This is a flagrant violation of the plaintiffs’ First Amendment rights as private speakers on a limited public forum,” Sorokin wrote.
The government can only restrict speech on a limited public forum like PSNet in a way that is reasonable and viewpoint neutral, the order said, and the administration’s restrictions were not.
Sorokin said it is not within his discretion “to evaluate the wisdom of restricting access to peer-reviewed scientific information that enhances patient safety by fostering more informed and timely diagnostic care—or of eliminating entirely a free, online repository of patient-safety resources accessed each year by thousands of medical professionals seeking to provide better, safer care to their patients in the United States. Those are matters for the political branches of government to decide.”
The preliminary injunction applies to Schiff and Royce’s articles, as well as other content removed from PSNet in a similar manner.
The Trump administration is asking a federal judge to reject a challenge from two Harvard University Medical School physicians seeking to block the government’s removal of research papers because they included terms related to the LGBTQ communities. https://t.co/Bj8Wuuu8c7
By: Susan J. Kressly, MD, FAAP, president, American Academy of Pediatrics
“The American Academy of Pediatrics (AAP) is deeply alarmed by the report released by the U.S. Department of Health and Human Services (HHS) today on medical care for transgender and gender-diverse individuals and the process that informed its development. For such an analysis to carry credibility, it must consider the totality of available data and the full spectrum of clinical outcomes rather than relying on select perspectives and a narrow set of data.
This report misrepresents the current medical consensus and fails to reflect the realities of pediatric care.
As we have seen with immunizations, bypassing medical expertise and scientific evidence has real consequences for the health of America’s children. AAP was not consulted in the development of this report, yet our policy and intentions behind our recommendations were cited throughout in inaccurate and misleading ways. The report prioritizes opinions over dispassionate reviews of evidence.
Patients, their families, and their physicians—not politicians or government officials —should be the ones to make decisions together about what care is best for them based on evidence-based, age-appropriate care.
We urge government officials and policymakers to approach these conversations with care, humility, and a commitment to considering the full breadth of peer-reviewed research. The AAP remains focused on supporting pediatricians in delivering the best possible care to every child, informed by science and the lived experiences of patients and families. We will continue to support the well-being of all children and access to high-quality care that meets their needs.”
If you look past the Matt Walsh crap Hasan gets to talking about people who are passing as the gender they identify as. And that is one reason why the red states are pushing so hard to trans block kids from using puberty blockers while allowing them for cis kids, they work and are safe but the trans kids won’t go through the wrong puberty giving them the wrong features we normally associate with genders. These people are terrified they won’t recognize who is trans because they pass so well. It shouldn’t be the issue I know as many wonderful trans people who had to go through the wrong puberty are still the gender they know and identify as. Sadly two things are at work. The two groups working together to stop trans positive or any positive LGBTQ+ inclusion / equality are the fundamentalist religious groups who think the entire world should run according to their faith … yet they have different faiths so … and the republican politicians who use it as a way to win votes and keep their base outraged. Both groups have their own agenda and they both ignore science and facts to create the narrative / outrage they desire rather than create a peaceful loving inclusive society. Oh I guess I forgot the white supremacist Nazi’s but they really fall under the Fundamentalist Christian banner right? Hugs.
I like that in this video Ben Shapiro tries his uninformed anti-trans ideas on Neil deGrasse Tyson. He learns the hard way between bullying a student and talking on a profession who understands and knows science. Not only does Tyson turn Shapiro’s anti-trans people in sports completely around on him, he asks Shapiro why the issue even matters to him. Trans people are no threat and are not in large numbers so why is Ben beating that fear drum. It is wonderful. Hugs
Spencer Cox of Utah answers a question during a discussion about how our society can learn to disagree in a way that allows us to find solutions on Wednesday, Nov. 15, 2023. | Logan Newell/The Coloradoan / USA TODAY NETWORK
Allie ReedCorrespondent
A large transgender flag with signatures and messages during a protest.Photographer: Manaure Quintero/Bloomberg
Scottie's Playtime 