evidence: The Biden administration on Tuesday afternoon provided more details about its opposition to gender-affirming surgery for transgender minors, a position at odds with its previously broad support for gender-affirming care — and one taken by a presidential administration that has closely aligned itself with LGBTQ+ advocates. "These are deeply personal decisions and we believe these surgeries should be limited to adults," a White House spokesperson said over email. "We continue to support gender-affirming care for minors, which represents a continuum of care, and respect the role of parents, families, and doctors in these decisions." [...] Most transgender youth receiving gender-affirming care will not undergo surgery as a minor. Trans youth who, along with their parents, elect to begin gender-affirming medical care as they enter adolescence due to persistent gender dysphoria will typically receive puberty blockers. This treatment intervenes before puberty causes bodily changes that may require surgery in the future. Puberty blockers are typically used until patients get to an age where they can consider taking hormone replacement therapy.