A Montana law prohibiting transgender surgeries and related medical interventions for minors remains temporarily blocked following a state Supreme Court decision. This ruling has ignited a heated discussion about the legality and ethics of such bans.
The court upheld a lower court's injunction against the law, which sought to ban puberty blockers, cross-sex hormones, and surgical treatments for gender dysphoria in minors. The justices agreed that the law likely infringes upon Montana’s constitutional right to privacy, including the right to make personal medical choices without government intrusion.

Transgender rights activists march at the University of Montana in May 2023. (Justin Sullivan/Getty Images)
This decision comes as the United Kingdom also announced an indefinite extension of its ban on puberty blockers for minors, citing safety concerns raised by medical experts. The timing of these parallel developments adds another layer to the international conversation surrounding this complex issue.
Republican Sen. John Fuller, the bill's sponsor, strongly criticized the Montana court's decision, calling it “hyperpartisan” and expressing concern about the potential harm to children from these treatments. Conversely, the ACLU of Montana celebrated the ruling as a victory for transgender rights and individual autonomy.
Montana joins at least 25 other states that have enacted similar bans, many of which are currently facing legal challenges. This patchwork of legislation across the country creates uncertainty for transgender youth and their families seeking medical care. While some states have blocked these bans, others have allowed them to take effect, leading to a complex and evolving legal landscape.

Demonstrators at the Montana State Capitol in Helena, Montana, March 2021. (Thom Bridge/Independent Record via AP, File)
The Montana case will now proceed to trial, with the state attorney general’s office prepared to defend the law. Justice Beth Baker’s majority opinion emphasized that the law prohibits individualized care based on professional medical judgment and informed consent. This ongoing legal battle will likely have significant implications for the future of transgender healthcare access in Montana and beyond.

Demonstrators at the Montana State Capitol in Helena, Montana, April 2023. (Thom Bridge/Independent Record via AP)
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