The U.S. Supreme Court has upheld a Tennessee law that bans gender-affirming care for minors, a decision that has sparked widespread debate and concern among advocates for transgender rights. Critics, including Justice Sonia Sotomayor, warn that this ruling may cause significant harm to transgender youth and undermines decades of established legal precedent. Proponents of the ban argue it reflects a necessary response to concerns about youth transitioning. This ruling leaves many questions unanswered regarding the future of transgender medical care in the U.S., particularly as similar legislation in other states may follow suit.