Protesters rally against closure of largest gender-affirming care center
for kids in the US
[July 09, 2025]
By ANNA FURMAN
LOS ANGELES (AP) — Growing up, Sage Sol Pitchenik wanted to hide.
“I hated my body," the nonbinary 16-year-old said. “I hated looking at
it.”
When therapy didn't help, Pitchenik, who uses the pronoun they, started
going to the Center for Transyouth Health and Development at Children’s
Hospital Los Angeles, the country’s biggest public provider of
gender-affirming care for children and teens. It changed their life.
But in response to the Trump administration’s threat to cut federal
funds to places that offer gender-affirming care to minors, the center
will be closing its doors July 22. Pitchenik has been among the scores
of protesters who have demonstrated regularly outside the hospital to
keep it open.
“Trans kids are done being quiet. Trans kids are done being polite, and
trans kids are done begging for the bare minimum, begging for the chance
to grow up, to have a future, to be loved by others when sometimes we
can’t even love ourselves,” Pitchenik said, prompting cheers from dozens
of protesters during a recent demonstration.
They went to the center for six years.
“There’s a lot of bigotry and just hate all around, and having somebody
who is trained specifically to speak with you, because there’s not a lot
of people that know what it’s like, it meant the world,” they told The
Associated Press.
The center's legacy
In operation for three decades, the facility is among the
longest-running trans youth centers in the country and has served
thousands of young people on public insurance.

Patients who haven't gone through puberty yet receive counseling, which
continues throughout the care process. For some patients, the next step
is puberty blockers; for others, it’s also hormone replacement therapy.
Surgeries are rarely offered to minors.
“I’m one of the lucky ones,” said Pitchenik, who received hormone
blockers after a lengthy process. “I learned how to not only survive but
how to thrive in my own body because of the lifesaving health care
provided to me right here at Children’s Hospital Los Angeles.”
Many families are now scrambling to find care among a patchwork of
private and public providers that are already stretched thin. It’s not
just patient care, but research development that’s ending.
“It is a disappointment to see this abrupt closure disrupting the care
that trans youth receive. But it’s also a stain on their legacy,” said
Maria Do, community mobilization manager at the Los Angeles LGBT Center.
“I think it showcases that they’re quick to abandon our most vulnerable
members.”
The closure comes weeks after the Supreme Court upheld Tennessee’s ban
on gender-affirming care for minors, amid other efforts by the federal
government to regulate the lives of transgender people.
The hospital initially backed off its plans to close after it announced
them in February, spurring demonstrations, but later doubled back.
The center said in a statement that “despite this deeply held commitment
to supporting LA’s gender-diverse community, the hospital has been left
with no viable path forward” to stay open.
“Center team members were heartbroken to learn of the decision from
hospital leaders, who emphasized that it was not made lightly, but
followed a thorough legal and financial assessment of the increasingly
severe impacts of recent administrative actions and proposed policies,”
the statement said.
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Protesters chant slogans while demonstrating against the closure of
the trans youth clinic at Children's Hospital Los Angeles, Thursday,
July 3, 2025, in Los Angeles. (AP Photo/Jae C. Hong)
 California Attorney General Rob
Bonta has warned that by closing the center, the hospital is
violating state antidiscrimination laws, but his office hasn't taken
any further actions. Bonta and attorney generals from 22 other
states sued the Trump administration over the executive order in
February.
“The Trump administration’s relentless assault on transgender
adolescents is nothing short of an all-out war to strip away LGBTQ+
rights,” Bonta told the AP in an email. “The Administration’s
harmful attacks are hurting California’s transgender community by
seeking to scare doctors and hospitals from providing
nondiscriminatory healthcare. The bottom line is: This care remains
legal in California.”
LGBTQ+ protesters and health care workers offer visibility
Still wearing scrubs, Jack Brenner, joined protesters after a long
shift as a nurse in the hospital’s emergency room, addressing the
crowd with a megaphone while choking back tears.
“Our visibility is so important for our youth,” Brenner said,
looking out at a cluster of protesters raising signs and waving
trans pride flags. “To see that there is a future, and that there is
a way to grow up and to be your authentic self.”
Brenner, who uses the pronoun they, didn’t see people who looked
like them growing up or come to understand what being trans meant
until their mid-20s.
“It's something I definitely didn’t have a language for when I was a
kid, and I didn’t know what the source of my pain and suffering was,
and now looking back, so many things are sliding into place,"
Brenner said. “I’m realizing how much gender dysphoria was a source
of my pain.”
Trans children and teens are at increased risk of death by suicide,
according to a 2024 study from the Centers for Disease Control and
Prevention.
Brenner described encountering young patients in the emergency room
who are trans or otherwise on the gender-nonconforming spectrum and
“at the peak of a mental health crisis.” Brenner wears a lanyard
teeming with colorful pins emblazoned with the words “they/them” to
signal their gender identity.

“I see the change in kids’ eyes, little glints of recognition, that
I am a trans adult and that there is a future,” Brenner said. “I’ve
seen kids light up when they recognize something of themselves in
me. And that is so meaningful that I can provide that.”
Beth Hossfeld, a marriage and family therapist, and a grandmother to
an 11- and 13-year-old who received care at the center, called the
closure “patient abandonment.”
“It’s a political decision, not a medical one, and that’s disturbing
to me,” she said.
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