Although patients’ medical gender transition can be facilitated by counseling, as a matter of medical ethics, informed consent must be obtained for treatment.
AMA J Ethics. 2016;18(11):1079-1085. doi:
10.1001/journalofethics.2016.18.11.ecas2-1611.
Balancing parents' rights to raise their children and a state's duty to protect children is no easy task. Even though most states have religious exemptions to child abuse or neglect laws, courts have ruled in favor of both parents and states, depending on the circumstances.