What states will take away your child if you don't give them a sex change?

Checked on September 23, 2025
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1. Summary of the results

The original statement inquires about states that will take away a child if parents do not provide a sex change. According to the analyses, no state directly takes away children from parents for not providing gender-affirming care [1] [2] [3]. However, 27 states have enacted laws or policies limiting youth access to gender-affirming care, and 24 states impose penalties on healthcare practitioners providing minors with such care [1]. Some states, like Texas, have considered taking away children from parents who provide gender-affirming care, but court rulings have blocked such actions [4]. In contrast, states like California have laws protecting transgender youth and their families, providing a sanctuary for those seeking medical care [5] [6]. The Supreme Court has upheld state bans on transgender care for minors, which may lead to states taking away children from parents who want to provide gender-affirming care [7]. Over 20 U.S. states have banned or severely limited gender-affirming care for minors, affecting over 144,000 young people, and in some states, parents who allow gender-affirming medical care can lose custody of their child [8].

2. Missing context/alternative viewpoints

A key missing context is the definition of "sex change", which is not explicitly stated in the original statement. The analyses suggest that the term "gender-affirming care" is more accurate, encompassing a range of medical treatments, including puberty blockers and hormone treatments [1] [2]. Another missing context is the impact of these laws on transgender youth and their families, with some sources highlighting the harm inflicted by bans on gender-affirming care [2] [3]. Alternative viewpoints include the conservative groups backing bans on transgender care, citing parental rights and the need for families to make medical decisions [9], and the opposition from LGBTQ+ advocacy groups, arguing that these laws inflict harm on transgender adolescents and their families [2]. The role of the Supreme Court in upholding state bans on transgender care for minors is also a crucial context [7].

3. Potential misinformation/bias in the original statement

The original statement may contain potential misinformation, as it implies that states will take away children from parents who do not provide a sex change, which is not directly stated in any of the analyses [1] [2] [3]. This framing may benefit conservative groups advocating for bans on transgender care, as it creates a sense of urgency and alarm around the issue [9]. On the other hand, LGBTQ+ advocacy groups may be harmed by this framing, as it perpetuates misinformation and stigma around gender-affirming care [2] [3]. The original statement may also lack nuance, failing to account for the complexity of the issue and the varying laws and policies across different states [4] [5] [6].

Want to dive deeper?
Which states have laws protecting parental rights regarding child gender transition?
How do child protective services handle cases of transgender youth in foster care?
What are the criteria for determining a child's best interest in transgender-related custody cases?
Can parents be charged with child abuse for refusing gender-affirming care?
What role do state laws play in regulating the use of puberty blockers for minors?