More than three dozen hospitals are still providing puberty blockers, cross-sex hormones, and (in some cases) gender transition surgeries to minors, according to a Daily Caller investigation. While some hospitals halted the procedures under pressure from the Trump administration, others continue to provide these procedures while the administration’s actions are tied up in court.

In January, President Trump issued an executive order “Protecting Children from Chemical and Surgical Mutilation,” which directed “the head of each executive department or agency (agency) that provides research or education grants to medical institutions” to “immediately take appropriate steps to ensure that institutions receiving Federal research or education grants end the chemical and surgical mutilation of children.”

In addition to cutting off federal funding, the order could also allow harmed families to sue, recognize religious and conscience protections, and open the door to criminal prosecution for certain transgender surgeries on minors.

Within days, multiple hospitals had paused all provision of gender transition procedures for minors, including Children’s National Hospital (CNH) in Washington, D.C., Virginia Commonwealth University (“VCU Health”), University of Virginia, and Children’s Hospital of Richmond.

However, Trump’s executive order was soon blocked by at least two federal lawsuits. In mid-February, a Biden-appointed federal judge in Baltimore issued a two-week, nationwide temporary restraining order (TRO) against Trump’s executive order, in a lawsuit brought by the ACLU. Two weeks later, a Biden-appointed federal judge in Seattle issued a preliminary injunction in a suit brought by the attorneys general of Washington, Oregon, Colorado, and Minnesota.

Some hospitals contacted by The Daily Caller were aware of these lawsuits and made decisions based upon their status. At Children’s Hospital Colorado True Center for Gender Diversity, a recorded voicemail message stated, “As a result of Colorado Attorney General joining the federal lawsuit filed in the state of Washington to block the executive order, Children’s Hospital Colorado will resume gender-affirming medical care, including puberty-blocking and hormone-based care.”

Other hospitals had reportedly never modified their procedures. “From what I’ve heard of, nothing has changed with what our providers provide,” said a receptionist at Boston Medical Center. In 2022, Boston Medical Center publicly advertised “access to onsite hormone blockers,” “gender-affirming hormone therapy,” and “referral to … other Center for Transgender Medicine and Surgery services” for “children, adolescents, and young adults.” An anonymous testimonial read, “As a parent of a child going through the transgender experience, I have found valuable information on this site. After the surgery, I will be caring for him/her at my home.” TWS confirmed this web page was still accessible on March 20, 2025.

At Bay State Medical Center, also in Boston, a representative told The Daily Caller, “I haven’t heard anything different” about providing “gender-affirming care,” adding that the center was fielding a high volume of new patients.

Staff at two hospitals seemingly confirmed that the hospitals perform gender transition surgeries on minors. “For the top surgery, it looks like we are seeing patients 14 years of age and older,” said a receptionist at the University of Minnesota Health. At Mount Sinai’s Center for Transgender Medicine and Surgery, a representative confirmed that there is no age cutoff for gender transition surgeries, but that “the doctor will decide” on a “case-by-case basis.”

The hospitals identified by The Daily Caller were concentrated in the Northeast, West Coast, and Midwest, but were not exclusively found in those regions. In the Northeast, there were six hospitals in New England, five in New York, one in Delaware, two in Maryland, and one in Washington, D.C. On the West Coast, there were five hospitals in California, one in Oregon, and one in Washington. In the Midwest, there were four hospitals in Ohio, two in Minnesota, two in Michigan, and one in Illinois.

In addition, three hospitals still providing gender transition procedures to minors were scattered through the Central West (one each in Colorado, Kansas, and Utah), and three were in the Southeast (one each in Florida, Georgia, and North Carolina).

Notably, nine hospitals on The Daily Caller’s list are in states which have enacted legislation to protect minors from gender transition procedures. Four of these hospitals are in Ohio, where a state appellate court recently ruled against the Ohio SAFE Act — Akron Children’s Hospital, Cincinnati Children’s Hospital, Cleveland Clinic, and MetroHealth. The University of Kansas hospital is (obviously) in Kansas, where a recently enacted law protecting minors from gender transition procedures will take effect on July 1 of this year.

The other four hospitals listed are in Florida (University of Florida), Georgia (Grady Health), North Carolina (Duke Health), and Utah (University of Utah). University hospital systems have been front and center in providing gender transition procedures to minors, especially in conservative areas of the country, where universities are progressive enclaves.

The most surprising member of this list is the University of Florida. Utah’s tepid law acts more to regulate gender transition procedures on minors than ban them outright. Georgia’s law prohibits gender transition surgeries and cross-sex hormones, but not puberty blockers. North Carolina’s law entrusts enforcement to the state Medical Board, but 11 out of 13 members of that board were appointed by former Governor Roy Cooper (who vetoed the bill) or his successor Josh Stein (D). (Board members may serve two consecutive three-year terms, and Cooper was governor for the past eight years.)

But Florida is a more conservative state, and Governor Ron DeSantis (R) has made a point to restructure university leadership; so, it is surprising that the University of Florida would offer gender transition procedures to minors in violation of state law.

The growing opposition to gender transition procedures for minors has been fortified by European reviews and detransitioner testimonials indicating that gender transition procedures do not provide the advertised benefits and instead cause increased harm, such as intense regret, lifelong hormone dependency, and an increase in “depression, anxiety, suicidal ideation, and substance use disorders.”

“Across the country today, medical professionals are maiming and sterilizing a growing number of impressionable children under the radical and false claim that adults can change a child’s sex through a series of irreversible medical interventions,” President Trump’s executive order declared. While federal judges have placed that order on hold, the hospitals inflicting irreversible harm on children continue unchecked.