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West Virginia

U.S. 4th Circuit Allows State Bans on Gender-Affirming Care for Transgender Adults ‘To Appreciate Their Sex’

The 4th Circuit has become the first federal appeals court to enforce laws restricting gender-affirming surgeries. “It is not irrational for a legislature to encourage citizens to appreciate their sex and not become disdainful of their sex,” Judge Julius Richardson said.

March 12, 2026