As of now, 22 states have already enacted laws against genital mutilations, according to data from the Equality Federation, an advocacy organization collaborating with LGBTQ+ groups at the state level. Now that more and more conservative states ban gender-affirming care for minors, doctors can anticipate a boom in sex-change surgeries in democratic states.

Arkansas, which became the first state to ban these procedures in 2021, holds healthcare providers liable for legal action if they perform gender transition procedures on minors.

On April 4, Idaho joined the list of states prohibiting such medical surgeries when Governor Brad Little signed a similar bill into law. Just before that, Kentucky Republicans successfully overrode a veto by Democratic Governor Andy Beshear to pass their own bill.

Other states such as Florida, Georgia, Indiana, Iowa, Louisiana, Mississippi, Missouri, Montana, Nebraska, North and South Dakota, Oklahoma, Tennessee, Utah and West Virginia have also implemented laws that restrict various forms of genital mutilation for minors, each with its own specific provisions and consequences.

Furthermore, Governor Greg Abbott of Texas signed a bill in June to ban gender alterations for minors, which is set to take effect this month. Looking ahead, states like South Carolina are actively considering legislation to limit gender transition procedures for individuals under the age of 26.