Operating under the belief that forms of sexual harm are deeply interconnected, NCOSE takes a comprehensive, multi-disciplinary approach to addressing issues such as sex trafficking, child sexual abuse, image-based abuse, and pornography. Their work spans four key areas: litigation through their Law Center, corporate accountability campaigns, bipartisan legislative advocacy, and empirical research through their Research Institute. One of their most recognized initiatives is the annual “Dirty Dozen List,” which publicly names mainstream companies and platforms they identify as significant contributors to sexual exploitation, using public pressure as a tool for corporate change. Even more, since 2010, NCOSE has claimed over 100 policy victories and leads a coalition of more than 300 member organizations, with recent wins including successful litigation against major tech companies like Meta and YouTube over child exploitation and social media addiction.

NCOSE serve people in all circumstances—from survivors and concerned citizens to policymakers and journalists—offering resources, research, and action opportunities for those looking to engage with these issues.

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The statement makes a detailed ethical case for why these procedures carry a higher threshold than other surgeries performed on adolescents, citing their irreversibility, the uncertain natural history of gender dysphoria, and the lack of reliable methods to predict which young people’s distress will persist versus resolve on its own. It also pushes back on the “life-saving” framing sometimes used to justify these interventions, noting that ethical decision-making should not be driven by crisis claims.

This position statement is a valuable resource for parents, policymakers, healthcare professionals, and advocates seeking to understand where the medical conversation currently stands on gender surgeries for children and adolescents.

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The site’s central document, the Memorandum of Understanding on the Role of Puberty in Adolescent Development, affirms every child’s right to experience healthy pubertal development and opposes puberty suppression as an intervention for gender-related distress, arguing that it infringes on a child’s “right to an open future.” Visitors to the site can read and download the MoU, review a Statement of Concern addressed to policymakers and health authorities, and add their own signature to a growing list of signatories from across the globe.

The site also offers a resources section featuring articles, videos, and reports examining the evidence around puberty suppression, including analysis of the proposed NHS puberty blocker trial and testimony from individuals personally affected by gender medicine.

For those seeking an internationally-grounded perspective that is critical of the “gender-affirming” medical model for minors, Protecting Puberty serves as both an informational hub and a platform for collective professional and public advocacy.

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Biological Integrity’s Policymaker Resources page offers a well-organized collection of primary source documents for lawmakers, legal professionals, and advocates. Readers will find downloadable factsheets on topics like the risks of puberty blockers, the mental health of gender-incongruent youth, and international legislative trends, alongside a legislation map tracking state-level policy activity across the U.S. The resources also include amicus briefs filed in significant cases as well as public comments submitted to the FDA and FTC. The international trends section includes primary documents from Finland, Sweden, Australia, and the UK, making it a valuable resource for anyone wanting to understand how other countries have approached (and in many cases, reversed) course on pediatric gender medicine.

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The statement also highlights that, historically, 80-90% of gender-dysphoric youth who were not medically-transitioned became comfortable with their biological sex after progressing through natural puberty, and that detransition rates are likely higher than commonly reported.

To conclude, the American College of Pediatricians opposes medical and surgical interventions and supports intensive psychotherapy as the appropriate first-line response for gender-distressed youth and their families.

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This declaration is an essential primary source document for healthcare providers, policymakers, legal professionals, parents, and advocates navigating this rapidly evolving landscape.

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Talking about sex doesn’t have to be a fear-filled challenge. The Focus on the Family(R) Guide to Talking with Your Kids about Sex shows parents how to talk with confidence to their kids about sex and sexuality. This candid resource is full of the latest information, practical insights, and age-appropriate answers to the questions parents and children ask about sex. Focus on the Family’s Physicians Resource Council, along with research from The Medical Institute for Sexual Health provides parents with the tools and empowering encouragement they need in order to communicate more effectively and biblically about sex, self-control, and self-respect at every stage of a child’s development.

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