“The AMA opposes the dangerous intrusion of government into the practice of medicine and the criminalization of health care decision-making,” said AMA Board Member Michael Suk, MD, JD, MPH, MBA. “Gender-affirming care is medically-necessary, evidence-based care that improves the physical and mental health of transgender and gender-diverse people.” Most recently in April 2021, the AMA delivered a letter (PDF) to the National Governors Association urging its members to oppose legislative dictates that inappropriately limit the range of options physicians and families may consider when making decisions for gender-diverse pediatric patients. The letter cited evidence demonstrating that forgoing gender-affirming care can have tragic consequences for transgender individuals who face increased risk of anxiety, stress, substance use disorder and suicide. The majority of transgender and diverse-gender patients report improved mental health and lower rates of suicide after receipt of gender-affirming care.