Puerto Rico Prohibits Gender-Affirming Surgeries for Minors

Puerto Rico has recently made headlines by enacting a significant law that bans gender transition procedures for minors, a decision that aligns the island with over two dozen states in the U.S. that have taken similar actions. This move, introduced by Governor Jenniffer Gonzalez Colon, aims to protect the health and well-being of young individuals, reflecting a growing trend among states to restrict access to medical interventions related to gender identity for minors.

On Wednesday, Governor Colon signed Senate Bill 350, officially known as the Law for the Protection of the Health and Well-being of Minors in Puerto Rico. This legislative decision followed a resounding approval in the Puerto Rico Senate, where the bill passed with a 24-2 vote, and a 47-4 vote in the House of Representatives. The law is now in effect as Public Law 63-2025.

The legislation specifically prohibits medical or surgical procedures that alter the sexual biology of minors. It bans the use of puberty blockers, hormone treatments, and surgical interventions aimed at changing a minor’s biological sex. According to the law, these measures are deemed inappropriate for minors, who may lack the emotional and cognitive maturity necessary to make such irreversible decisions. The law emphasizes the state’s responsibility to safeguard the long-term health of its youth, particularly concerning decisions that could lead to permanent changes in their anatomy.

Violations of this law carry serious consequences, including a potential 15-year prison sentence for individuals who perform these procedures and a steep fine of $50,000 for organizations involved. The law also stipulates that healthcare professionals who disregard these regulations may face the revocation of their medical licenses. However, it does provide an exception for individuals with documented intersex traits, allowing them access to the procedures that the law otherwise prohibits.

This legislative action mirrors a broader national movement. More than two dozen states have enacted similar laws restricting gender transition procedures for minors, including Alabama, Florida, Texas, and Tennessee. The U.S. Supreme Court recently upheld Tennessee’s ban on these procedures, reinforcing the legality of such state-level decisions.

The American College of Pediatricians has voiced concerns regarding the potential long-term effects of puberty blockers and cross-sex hormones. They warn that these interventions can lead to severe health issues, including osteoporosis, cognitive impairment, and increased risks of serious conditions such as heart attacks and cancers. In light of these concerns, many advocates for youth health argue that protecting minors from irreversible medical decisions is essential.

While the debate around gender identity and medical interventions continues to evolve, Puerto Rico’s new law reflects a growing consensus among many lawmakers and healthcare professionals regarding the importance of safeguarding the health of minors. As discussions surrounding this sensitive topic progress, it remains crucial for parents, guardians, and communities to stay informed and engaged in the conversation about the well-being of young people.

For further insights into the implications of these laws and the ongoing discussions surrounding gender identity, you can explore resources from The American College of Pediatricians and other trusted organizations dedicated to child health and welfare.