Though a spokesperson for Children’s Hospital Colorado told the Denver Post last week that children’s hospitals have been “directly threatened as a result of the gender-affirming care provided in their institutions,” she later told NBC News that threats to other hospitals did not drive the decision.

The hospital’s TRUE Center for Gender Diversity still provides puberty-blocking medicines, cross-sex hormone therapy, and counseling as well as referrals to other services, according to its website.  

“Using puberty blockers can avoid body changes that do not align with your identity,” the TRUE Center website says. It says hormone therapy can help produce secondary sex characteristics like voice pitch and breast development “that align with your gender identity.”

Catholic ethics rejects the removal of healthy sexual organs as a form of mutilation, according to an FAQ by the National Catholic Bioethics Center. The Catholic vision of the person as a unity of body and soul means that a person cannot change his or her sexual identity.

Purported gender-affirming drugs and procedures, especially for minors, have also drawn political scrutiny, public protest, and sometimes threats.

In November 2022, the New York Times published an article questioning the use of puberty blockers, which are often presented as a safe, reversible option. There are various protocols for using the drugs, little documentation of patient outcomes, and the drugs are not government-approved for use in gender therapies.