The Western Journal

Major Hospital Stops Providing Some Trans Surgeries to Adults

Vanderbilt University Medical Center said it will stop providing certain gender-affirming plastic surgeries for adults due to operational limits and lack of surgical coverage, while continuing non-surgical gender-affirming care for adults 19 and older.The move occurs within Tennessee’s broader context of gender-affirming care restrictions: the state previously banned such care for minors, and the U.S. Supreme Court upheld that ban in a 6-3 decision that overturned a lower court’s ruling about minors’ rights. Separately, Tennessee lawmakers have introduced a bill to prohibit TennCare (the state Medicaid program) from covering transgender procedures, with limited exceptions for congenital defects, precocious puberty, disease, or physical injury. The Vanderbilt Hustler quotes a professor who had transgender procedures since 2022, describing worsening conditions and uncertainty about future surgeries and ongoing clinic support. The article references various local and national media coverage and related commentary about access to gender-affirming care.


Vanderbilt University Medical Center revealed that it would stop providing some forms of transgender operations to adults, although it will continue providing other forms of so-called gender-affirming care.

On Feb. 20, a representative for Vanderbilt Health informed WSMV that the organization, which does not provide any form of the controversial procedures to minors due to state law, is pausing transgender plastic surgeries for those permitted under the law to have them.

“Due to operational limitations and lack of surgical coverage, Vanderbilt Health will cease providing gender-affirming plastic surgeries for adults,” the representative said.

“Vanderbilt Health continues to provide nonsurgical gender-affirming care for adults 19 years and older.”

The state of Tennessee had previously banned so-called gender affirming care for minors, including both hormones and surgeries.

The Supreme Court upheld the law last year, per a report from the Tennessee Lookout.

Justices made a decisive 6-3 ruling in favor of the state, overturning a lower court ruling which concluded that the law violates the constitutional rights of minors obtaining the procedures.

WSMV reported that a new bill has been introduced in Tennessee that would ban TennCare, the state Medicaid program for Tennessee, from covering transgender procedures.

There are exceptions in the legislation for treating “an individual’s congenital defect, precocious puberty, disease, or physical injury.”

The Vanderbilt Hustler, the student newspaper of Vanderbilt University, interviewed a professor who had been receiving transgender procedures since 2022.

“Over time, especially in the last year, things have gotten progressively worse,” the unnamed professor said.

“And one of the things I felt especially hit me and my community around me was essentially the taking down of the trans buddy system and the taking down of all LGBTQ-related support care for the clinic.”

The professor noted that future surgeries are by no means guaranteed.

“Early in April, my surgery will go through. But the future is the one that has a lot of question marks. What if I want a follow-up surgery?” the professor continued.

“What if there are future people who want surgeries? Where are they going to go? How is Vanderbilt going to recruit people when we tell them that you’re not going to get the healthcare you need?”




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