Pediatricians should not opt out of caring for children of same-sex couples due to anti-gay beliefs or bias.

In referring transgender patients for medical transition, clinicians should be guided by harm reduction, respect for autonomy, and continuity of care.

Although patients’ medical gender transition can be facilitated by counseling, as a matter of medical ethics, informed consent must be obtained for treatment.

By cultivating cultural humility, physicians can address not only stereotypes and biases but also power inequalities and community inequities.

Recommendation for induced lactation in nonbiological mothers is widespread in the medical literature. To resist offering the service for nongestating lesbian mothers bespeaks potential discrimination.

Poor sleep affects nearly every organ system and influences many morbidity and mortality causes, so screening for sleep sufficiency and quality should be prioritized.

Fully assessing children’s sleep environments and effectively promoting children’s overall sleep health is nearly impossible during brief clinical encounters.

Hostile design discourages and limits use of a space and can make users feel unwelcome or unsafe.

Abolition medicine and reproductive justice are synergistic approaches that advance a radical vision of a racially just world.

The health sector has obligations and ample opportunities to protect health by decreasing waste and motivating more system-wide sustainable clinical practices.