In a significant move, major health systems such as Children’s Wisconsin and UW Health have announced a halt to their gender-affirming treatments for minors. This decision comes amid fresh federal policy changes and increasing legal scrutiny surrounding transgender health care for youth. As some hospitals in Colorado also suspend similar treatments, concerns are growing about the impact on transgender youth seeking essential care. Lawmakers and advocates are challenging these pauses, urging health systems to reverse their decisions, while several state attorneys general are filing lawsuits against federal actions perceived as discriminatory. A federal judge recently rejected a subpoena directed at a Colorado hospital regarding transgender care, emphasizing the ongoing legal battles surrounding this contentious issue. The landscape of gender-affirming care for minors remains complex and fraught with challenges as health systems navigate regulatory risks and public pressure.