Puerto Rico has enacted one of the strictest laws in the U.S. against gender transition procedures for minors, now prohibiting puberty blockers, cross-sex hormones, and surgeries for anyone under 21 seeking to “align their physical appearance with an identity other than their biological sex.” Approved by Gov. Jenniffer Gonzalez Colón, Public Law 63-2025—passed overwhelmingly by both houses—bans irreversible medical interventions, citing concerns that minors lack the capacity to make such life-altering decisions and the state’s duty to protect their long-term health. Violating healthcare providers face severe penalties, including license revocation and up to 15 years in prison. The law carves out exceptions for those with documented intersex conditions.
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