1. Short title This Act may be cited as the Protect Children’s Innocence Act . I Gender-affirming care on minors prohibited 101. Gender-affirming care on minors prohibited Chapter 110 of title 18, United States Code, is amended— (1) by adding at the end the following: 2260B. Gender-affirming care on minors (a) In general Whoever, in any circumstance described in subsection (e), knowingly performs any gender-affirming care on a minor is guilty of a class C felony. (b) Prohibition on prosecution of person on whom intervention is performed No person on whom the gender-affirming care under subsection (a) is performed may be arrested or prosecuted for an offense under this section. (c) Civil action A person on whom gender-affirming care is performed under this section may bring a civil action for appropriate relief, including compensatory and punitive damages, against each person who performed the gender-affirming care. (d) Definitions In this section: (1) Gender-affirming care (A) In general For purposes of this chapter, except as provided in subparagraph (B), the term gender-affirming care means, with respect to an individual, any of the following: (i) Performing any surgery for the purpose of changing the body of such individual to correspond to a sex that differs from their biological sex, including— (I) castration; (II) orchiectomy; (III) scrotoplasty; (IV) vasectomy; (V) hysterectomy; (VI) oophorectomy; (VII) ovariectomy; (VIII) metoidioplasty; (IX) penectomy; (X) phalloplasty; (XI) vaginoplasty; (XII) vaginectomy; (XIII) vulvoplasty; (XIV) reduction thyrochondroplasty; (XV) chondrolaryngoplasty