The U.S. Supreme Court on Wednesday upheld Tennessee’s ban on transgender-related medical procedures for minors, delivering a major legal victory for state lawmakers and parents who have opposed irreversible medical treatments for children.
The 6–3 ruling affirms the authority of states to regulate such procedures and opens the door for similar bans across the country.
BREAKING: The Supreme Court just ruled to uphold Tennessee’s BAN on transgender surgeries, cross-sex hormones, and puberty blockers for minors in a 6-3 decision.
MASSIVE WIN!! pic.twitter.com/9Fev4NlVZW
— Libs of TikTok (@libsoftiktok) June 18, 2025
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The law at the center of the case, passed by Tennessee in 2023, prohibits doctors from administering puberty blockers, cross-sex hormones, and performing surgical interventions intended to alter a minor’s biological sex.
The state’s law allows exceptions for medical conditions unrelated to gender dysphoria.
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In the majority opinion, Chief Justice John Roberts wrote that the legal challenge raised complex medical and policy questions that should not be resolved through constitutional claims.
“This case carries with it the weight of fierce scientific and policy debates about the safety, efficacy, and propriety of medical treatments in an evolving field,” Roberts wrote.
“The voices in these debates raise sincere concerns; the implications for all are profound. The Equal Protection Clause does not resolve these disagreements. Nor does it afford us license to decide them as we see best.”
The ruling now clears the way for other states to enforce similar laws. At least 26 states have already enacted legislation restricting transgender medical interventions for minors.
Justice Sonia Sotomayor, writing in dissent, claimed the ruling “abandons transgender children and their families to political whims.”
Her opinion reflected broader criticisms from progressive groups and activists who have framed such state-level bans as discriminatory.
The decision marks a shift in how the high court has approached issues related to transgender Americans.
In 2020, the Supreme Court ruled that federal civil rights protections in the workplace extended to transgender individuals, a decision that remains in effect.
However, the majority in Wednesday’s decision drew a distinction between adult workplace rights and policies surrounding irreversible medical treatments for minors.
The Biden-Harris administration had originally challenged Tennessee’s law, but following the 2024 election and the return of President Donald Trump to office, the U.S. Department of Justice reversed its position.
If you see any Democrats write “gender affirming care” in their tweets crying about the Supreme Court ruling today, just know that this is what they’re referring to.
They know this too.
They want these procedures done on kids.
They’re evil. pic.twitter.com/LLVx27We0E
— Libs of TikTok (@libsoftiktok) June 18, 2025
The DOJ notified the court earlier this year that it would no longer pursue the case.
Tennessee Attorney General Jonathan Skrmetti applauded the decision.
“Landmark VICTORY for Tennessee at SCOTUS in defense of America’s children!” Skrmetti wrote on social media shortly after the ruling was released.
Landmark VICTORY for Tennessee at SCOTUS in defense of America’s children! #Skrmetti pic.twitter.com/jqBao5MBNx
— TN Attorney General (@AGTennessee) June 18, 2025
Tennessee’s law was one of the first of its kind to face a direct challenge before the nation’s highest court.
The ruling now stands as a precedent for other states looking to defend similar legislation.
Reflect on this monstrous dissent by the 3 Democrat Supreme Court justices:
They argue kids can get subjected to years of genital-mutilation surgeries.
Even though these kids clearly can’t provide informed consent.
And there’s nothing we can do to stop this.
Truly sickening. pic.twitter.com/aWTHEZ0DUO
— 🇺🇸 Mike Davis 🇺🇸 (@mrddmia) June 19, 2025
Lawmakers in several states have cited concerns over long-term medical consequences, consent, and the role of parents in deciding a child’s medical care.
Internationally, several countries have adopted more restrictive approaches in recent years.
Last month, the United Kingdom’s High Court ruled that biological males who identify as transgender may be excluded from certain female-only spaces, including shelters and locker rooms, in what British officials called a matter of protecting privacy and safety.
The Supreme Court’s ruling is expected to further intensify state-level debates over how minors are treated under transgender medical guidelines and whether medical interventions should be allowed before adulthood.
The decision does not affect transgender rights for adults but reinforces the authority of states to regulate pediatric medical procedures within their own borders.
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