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Colorado children's hospital halts gender-affirming surgery for adult patients

Children’s Hospital Colorado said it never offered such operations to minors and will continue to provide other gender-affirming treatments, such as hormone therapy.
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A Colorado children’s hospital has stopped offering transition-related operations for transgender patients 18 and older, a hospital spokesperson confirmed Tuesday. The hospital said it never provided such surgery for minors. 

Rachael Fowler, a spokesperson for Children’s Hospital Colorado, said in a statement that, because of "unprecedented referrals," the hospital "made the difficult decision to no longer provide gender-affirming surgical procedures for adult patients 18 years of age and older."

Fowler told The Denver Post this week that “children’s hospitals across the country have been directly threatened as a result of the gender-affirming care provided in their institutions,” but later told NBC News that threats to other hospitals did not drive their decision. Fowler added that the hospital is working with patients to refer them to other facilities that still provide such procedures.

Children’s Hospital Colorado, through its TRUE Center for Gender Diversity, will continue to provide nonsurgical gender-affirming care for both minors and patients who have recently turned 18. Such care includes hormone therapy, gender counseling and nutrition services, according to the center’s website. 

Children's Hospital Colorado
Children's Hospital Colorado. John Greim / LightRocket via Getty Images

LGBTQ advocates in the state expressed concern over the hospital’s decision. 

“The precedent that they’re setting is dangerous,” Ruby Lopez, an advocate with OutBoulder, told NBC affiliate KUSA of Denver. “My fear is that other hospitals are also going to follow suit.” 

Gov. Jared Polis, a Democrat and one of just three openly LGBTQ governors in the U.S., in April signed a bill into law that protects patients seeking gender-affirming treatments from criminal prosecution, including those traveling to Colorado from surrounding states. Colorado has not passed any laws restricting medical care for transgender people. 

At least 21 states have enacted legislation restricting gender-affirming care for minors, though a federal judge permanently blocked Arkansas’ law and laws in four other states have been temporarily blocked. Texas, Oklahoma and Missouri have also proposed legislation to limit care for transgender adults, according to the Human Rights Campaign, the country’s largest LGBTQ advocacy group.