The US Supreme Court’s conservative majority on Wednesday upheld the state of Tennessee’s ban on gender-affirming care for minors. The ruling does not affect states where gender-affirming care for youth remains legal, but establishes the precedent that states can ban this kind of treatment. This is the first case the Supreme Court has taken up on the issue of gender-affirming care for minors. Gender-affirming care includes a variety of medical services meant to help align a person’s body more closely with their gender identity. Many of those states also penalize health care practitioners for providing or offering this type of care to minors.