Biological Integrity is a reliable medical resource on the topic of gender dysphoria for parents, teens, physicians, schools, and policymakers.
A Project of the American College of Pediatricians
Major U.S. Hospitals that Closed or Suspended Pediatric Gender Clinics in 2025
Hover over each state to see current
closed or suspended clinics.
As of August 2025, 35 gender clinics have closed entirely, 28 have suspended all or surgical interventions on minors, while 34 remain open, according to hospital announcements. This marks a significant decline from the 90 known clinics operating in 2020, 93 in 2021.
States that Protect Minors from Transgender Interventions
Hover over each state to see current legislation protecting minors from transgender interventions.
As of February 2026, 27 states have enacted legislation protecting minors from sex-rejecting interventions. Most of these laws protect minors from the harms of puberty blockers, cross-sex hormones, and sex-rejecting surgeries, while a few states have adopted narrower regulations. These protection laws are currently blocked by district court judges in two states: Arkansas and Montana.
See the complete Legislative Factsheet HERE.
States that Protect Minors from Transgender Interventions
Hover over each state to see current legislation protecting minors from transgender interventions.
As of March 2025, there are 27 states that have enacted legislation protecting minors from transgender interventions. The majority of laws protect minors from the harms of puberty blockers, cross-sex hormones, and transgender surgeries. A few states have narrower regulations. The protective laws have been temporarily or permanently blocked by judges in six states, and the attorney general has refused to enforce the law in one.
See the complete Legislative Factsheet HERE.
