Critics contend that California has facilitated and even encouraged potentially harmful transgender medical interventions for minors, including puberty blockers, hormone therapy, and surgeries. These concerns are amplified by recent reports detailing the experiences of individuals who later regretted these procedures, a phenomenon known as detransition.

The U.S. Department of Health and Human Services issued a report, titled "Wolves in White Coats," which asserts that medical professionals and healthcare facilities, with support from progressive political figures, are promoting irreversible treatments for children. The report suggests that financial incentives, with doctors and hospitals potentially earning hundreds of millions of dollars, may have influenced these practices.

California has been at the forefront of these debates, particularly with Senate Bill 107, championed by State Sen. Scott Wiener. This legislation established California as a "sanctuary state" for minors from other states seeking gender-affirming care. SB 107 aimed to protect California doctors and hospitals from legal repercussions or information sharing with out-of-state authorities regarding minors who received treatment in California.

Critics, such as Clementine Breen Soren Aldaco, have spoken out about their experiences, claiming they were "gaslit" by gender-affirming doctors into transitioning. Aldaco's account highlights concerns that minors may not possess the maturity to make irreversible decisions about their bodies and fertility, and that they might be unduly influenced by medical professionals or school officials.

Governor Gavin Newsom has also faced scrutiny for his administration's role. A law signed by Newsom, which was later overturned by the Supreme Court, sought to prevent students from informing their parents about gender identity changes at school. This policy, according to critics, left children vulnerable to decisions made with teachers and school health officials rather than their parents.

Newsom has reportedly evaded questions regarding the age at which a child would be considered too young for transgender-related medical treatments. Critics argue that Democratic leaders, including Newsom and Wiener, have failed to challenge what they describe as the most radical elements within the LGBTQ+ movement, leading to policies that prioritize medical interventions over parental involvement and child protection.