PROTECT CHILDREN FROM IRREVERSIBLE HARM
Tell Congress to Pass the Chloe Cole Act
A growing number of young adults who underwent gender transition as minors are speaking out about the permanent consequences they say were not fully disclosed to them. These invasive medical interventions, including puberty blockers, cross-sex hormones, and irreversible surgeries, can carry lifelong consequences, including infertility, sexual dysfunction, loss of healthy reproductive tissue, additional surgeries, and dependence on hormone therapy.
Named for detransitioner and advocate Chloe Cole, who underwent medical transition as a minor, the Chloe Cole Act would establish a federal legal pathway for children harmed by these interventions to hold medical professionals and institutions accountable. Congress now has an opportunity to give affected individuals and their families a path to seek justice.
MAKE YOUR VOICE HEARD
Congress needs to hear from you. Contact your representatives and urge them to support the Chloe Cole Act and protect children from harmful, irreversible medical interventions.
Not sure what to say? Use our sample message as a starting point, then personalize it before sending. View our sample message.
Support Accountability for Medical Professionals Who Harmed Children
Congress must advance the Chloe Cole Act (H.R. 7651) and its Senate companion, S. 2907, to establish a federal pathway for children harmed by certain medical interventions so that minors and their families can seek accountability from the medical professionals and institutions responsible.
The Chloe Cole Act would:
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Allow children harmed by covered interventions—and their parents—to sue providers and medical facilities.
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Allow recovery of medical costs associated with detransition care.
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Allow compensation for pain, suffering, and emotional distress.
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Permit punitive damages where appropriate.
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Extend the statute of limitations to recognize that many detransitioners do not fully understand the consequences until adulthood.
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Apply to puberty blockers, cross-sex hormones, and specified surgical interventions performed on minors.
Meet Chloe Cole
As a teenager struggling with questions about her identity, Chloe Cole underwent medical transition, including irreversible medical interventions. She later detransitioned and has publicly shared the lifelong physical and emotional consequences from those procedures, becoming one of the nation's leading advocates for protecting children and strengthening medical accountability.
The Numbers Don't Lie
$120 MILLION
made from gender-transition treatments for minors since 2019
NEARLY 14,000
gender-transition surgeries performed on minors in recent years
62,682
hormone and puberty-blocker prescriptions written for 8,579 pediatric patients
Source: Stop the Harm Database, a Project of Do No Harm
The CONVERSATION
Firsthand stories, expert perspectives, and conversations that go deeper.
THE FACTS
Parents are often told that transitioning procedures is the only evidence-based option, and that delaying or declining treatment could put their child's life at risk. But do these claims hold up? These independent reviews and peer-reviewed studies help debunk some of the most common claims surrounding pediatric medical transition.
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Transition Was Not Shown to Reduce Suicide Risk.
A large Finnish study found that puberty blockers, hormones, and surgeries were not associated with lower suicide deaths, concluding that underlying mental health conditions—not lack of medical transition—were the primary driver of suicide risk. -
Mental Health Does Not Improve After Puberty Blockers.
Data from the United Kingdom found that more than one-third of children who received puberty blockers experienced a reliable deterioration in their mental health, challenging claims that these interventions consistently improve psychological well-being. -
Most Children Outgrow Gender-Related Confusion.
Researchers followed 2,772 adolescents for 15 years and found that most who experienced gender-related dissatisfaction during adolescence no longer did by early adulthood. -
Social Media, Peer Influence, and Clinical Pressure Often Shape Transition Decisions.
A study of 1,655 parent reports found recurring patterns of peer influence, heavy social media use, and parents' reports of pressure from gender specialists that impacting the decision to transition. -
Medical Transition Doesn’t Cure Loneliness or Social Isolation.
A 2023 study found that more than 8 in 10 transgender and gender-diverse participants reported experiencing loneliness, highlighting that medical interventions alone do not necessarily resolve underlying emotional or mental health challenges. -
Underlying Mental Health Needs Persist After Transition.
A nationwide Finnish study found that adolescents referred for gender identity services had substantially higher rates of psychiatric care both before and after medical transition, suggesting that underlying mental health challenges often remain unresolved. -
Federal Review Found No Strong Evidence Supporting Pediatric Transition.
A landmark HHS review concluded that the evidence supporting pediatric medical transition is very low quality, while the risks—including infertility, sexual dysfunction, impaired bone development, cardiovascular disease, psychiatric disorders, surgical complications, and regret—are significant. -
Other Countries Have Already Restricted Gender Transition for Minors.
Countries including England, Finland, Sweden, Denmark, Ireland, and Italy have restricted or are reevaluating pediatric transition as independent evidence reviews have raised concerns about its safety, effectiveness, and long-term outcomes.
ACCOUNTABILITY IN ACTION
Independent research is no longer the only source raising concerns. Hospitals, courts, and the federal government are increasingly taking action in response to growing evidence, legal challenges, and the experiences of detransitioners.
While accountability is beginning to emerge through the courts and federal enforcement actions, the Chloe Cole Act would provide additional protections and legal recourse for those harmed by the medical professionals and institutions that provided these irreversible interventions.
Ready to make your voice heard?
Use this sample script to urge your members of Congress to support the Chloe Cole Act.
My name is [Name], and I'm a constituent from [City, State].
I'm calling to urge Representative/Senator __________ to support the Chloe Cole Act.
Since 2019, thousands of gender-related surgeries have been performed on minors, while over 60,000 prescriptions for puberty blockers and cross-sex hormones have been written for pediatric patients, and an estimated $120 million has been generated from these procedures.
Parents are often told these interventions are evidence-based, medically necessary, and even lifesaving. Yet independent evidence reviews and peer-reviewed research tell a different story, finding significant long-term risks, and no clear evidence that these interventions reduce suicide or address the underlying mental health challenges many children face.
An increasing number of young adults, including Chloe Cole, are now speaking out about the permanent consequences they say they were never fully warned about, including infertility, sexual dysfunction, repeated surgeries, and lifelong dependence on hormone therapy.
The Chloe Cole Act would give children harmed by these interventions—and their families—a federal legal pathway to hold the medical professionals and institutions responsible accountable.
Please support and advance the Chloe Cole Act to protect children from irreversible harm and ensure there is accountability when children are permanently injured.
Thank you!
