In a significant ruling, the US Supreme Court upheld a Tennessee law banning gender-affirming care for minors, which activists warn could lead to substantial harm for transgender youth. Justice Sonia Sotomayor expressed concern during her dissent, stating that the decision counters decades of precedent and could inflict ‘untold harm’ on vulnerable communities. The ruling has sparked intense discussions about the implications for similar laws across the country, with some viewing it as a blow to transgender rights and others celebrating it as a victory for child health protection. As advocates reflect on the ruling, the broader legal questions regarding transgender care for minors remain unresolved, amplifying concerns about the future of healthcare access for transgender youth.