evidence: However, following systematic reviews of evidence conducted in Europe and the subsequent reversal of the "gender-affirmation" paradigm in favor of a cautious, developmentally-informed approach that prioritizes psychosocial support and noninvasive resolution of gender distress in Sweden and Finland, Denmark appears to have made a quiet but resolute shift to treat most youth presenting with gender dysphoria with supportive counseling rather than puberty blockers, hormones, or surgery. In 2022, only 6% of those referred to Denmark’s centralized gender clinic were prescribed endocrine interventions (puberty blockers and/or cross-sex hormones).* [...] - Surgical interventions in minors, already rare, will likely be removed as an option. The current treatment guidelines do not allow genital surgeries for those under 18, but it appears that mastectomies for some older teens are still an option (although perhaps an option on paper only). Recent comments by the Danish Minister of Health suggest that mastectomies may be officially disallowed in the updated guidelines. "I can also inform you that the National Board of Health ["Sundhedsstyrelsen"] issued a new guideline for gender reassignment surgery on March 28 this year at the latest, which is now in consultation. In the new referral guidelines, it is no longer possible to offer surgical treatment to children under the age of 18... An option that, by the way, has never been used in Denmark." **