In a move that has sparked both praise and criticism, Kaiser Permanente has decided to halt gender affirming surgeries for patients under the age of 19. This decision comes as the healthcare provider seeks to reevaluate its approach to treating transgender and non-binary youth. The organization has stated that it will continue to provide other forms of care, including hormone therapy and mental health services, to its young patients. However, it will no longer offer surgical interventions, such as top and bottom surgeries, to minors. Kaiser Permanente has cited a need for more research into the long-term effects of these procedures, as well as a desire to ensure that its patients are making informed decisions about their care. The decision has been met with support from some who argue that gender affirming surgeries should not be performed on minors, as they may not have the emotional maturity to make such a significant decision. Others, however, have expressed outrage and disappointment, arguing that this decision will limit access to necessary care for transgender and non-binary youth. The World Professional Association for Transgender Health has stated that gender affirming surgeries can be a crucial part of the transition process for many young people, and that denying them access to these procedures can have serious negative consequences for their mental and emotional health. Despite this, Kaiser Permanente has stated that it will continue to follow the guidance of major medical organizations, including the American Academy of Pediatrics, which has recommended a more cautious approach to treating transgender and non-binary youth. The decision is likely to have significant implications for the healthcare landscape, particularly in the state of California, where Kaiser Permanente is a major provider. It is also likely to spark further debate about the appropriate approach to treating transgender and non-binary youth, and the role of healthcare providers in supporting their transition. As the situation continues to unfold, it is clear that the needs and well-being of transgender and non-binary youth must be carefully considered, and that any decisions made must be guided by a commitment to providing the best possible care. The decision by Kaiser Permanente has also raised questions about the role of insurance providers in covering gender affirming surgeries, and whether they will continue to cover these procedures for minors. Additionally, the decision has sparked concerns about the potential impact on the mental health and well-being of transgender and non-binary youth, who may be denied access to necessary care. Furthermore, the decision has highlighted the need for more research into the effects of gender affirming surgeries on minors, and the importance of developing evidence-based guidelines for treating transgender and non-binary youth. Ultimately, the decision by Kaiser Permanente serves as a reminder of the complex and often contentious nature of the debate surrounding gender affirming surgeries, and the need for careful consideration and nuanced discussion.