The Texas Children’s Hospital, widely recognized as the largest pediatric healthcare facility in the United States, has announced a significant shift in its policies regarding gender-affirming treatments for minors. As part of a newly finalized settlement, the hospital will cease administering puberty blockers to minors, establish the nation’s first dedicated “detransition clinic,” and pay $10 million in penalties.
The settlement, hailed by Texas Attorney General Ken Paxton as a “landmark,” marks a contentious chapter in the ongoing debate over pediatric gender care. Paxton emphasized that the settlement would “fully fund the detransition clinic and provide services free of charge to patients for the first five years,” aiming to assist minors who have undergone gender transition treatments but later regret their decisions.
In a statement, Paxton condemned the hospital staff involved in gender-affirming care, claiming they are “deranged child mutilators who hurt our kids,” and expressed the necessity of holding them accountable. “This settlement is about safeguarding our children and defending the integrity of medical practice,” Paxton declared.
Texas Children’s Hospital responded with a statement that emphasized their intent to “protect our resources from endless and costly litigation.” The hospital also described the settlement as “closing a chapter that has been wrought with falsehoods and distractions.” They asserted that their decision to stop puberty blockers and establish a detransition clinic was driven by an effort to prioritize their resources amidst ongoing legal and political pressures.
The new detransition clinic aims to serve minors who have begun gender transition treatments but later decide to reverse course, providing psychological support, medical care, and counseling. Health experts see this development as a potential step toward better-informed, more cautious approaches in gender healthcare for minors, though critics argue it reflects a broader political pushback against pediatric gender treatments.
This move by Texas’ largest children’s hospital underscores the divided public opinion and ongoing legal battles surrounding healthcare decisions for transgender minors. While some praise the hospital’s focus on “protecting children,” advocacy groups supporting gender-affirming care warn that such measures could endanger vulnerable youths seeking supportive healthcare amid a highly polarized environment.
Where to Learn More
- Texas Children’s Hospital settles gender care lawsuit, establishes detransition clinic – Texas Tribune
- Texas hospital to open detransition clinic amid legal dispute over gender treatments – NBC News
- Texas’ largest children’s hospital ends puberty blockers, opens detransition clinic – Fox News
- HHS updates on healthcare policies for minors in Texas


