HB 377 and HB 712 This bill blocks essential medical care for a small minority of youth who have gender dysphoria, a unique medical and psychological condition that may seem uncomfortable to persons who have little or no medical knowledge or experience. Gender dysphoria is an intensely sensitive and personal condition in individuals who are often ostracized and ridiculed. This bill inserts the public between the patient and the trained licensed professional. It is a direct violation of the doctor patient relationship. Physicians and parents are the most qualified to address the needs of these often-fragile individuals, who seek acknowledgement and acceptance of their identity. Supportive psychological and medical care is lifesaving for these individuals. It is not the purview of laymen to legislate the medical care for gender dysphoria any more than they should legislate medical care for diabetes or heart disease. Singling out gender dysphoria is discriminatory, intimidating and harmful to the youth who want and need acceptance for who they are. I strongly oppose this bill. Cathryn Welch, MD
HB712
House · 2025 sessionRepublicanSigned into lawLimiting minors' breast surgery, abortion reporting
AILimits breast surgeries for minors to cases treating malignancy, injury, infection, or malformation and related reconstruction, and requires health care providers and the state to collect and report abortion statistics.
(New Title) limiting breast surgeries for minors, relative to residential care and health facility licensing, and relative to the collection and reporting of abortion statistics by health care providers and medical facilities.
Status
Signed into law · August 11, 2025- ✓Introduced
- ✓House
- ✓Senate
- ✓Governor
- ✓Law
Division of testimony
1,385 submissionsArgument digest · AI-generated
from 360 of 360 written submissionsHB712 would limit breast surgeries for minors, most consequentially by banning transgender chest ('top') surgery for people under 18 while retaining exceptions for conditions like gynecomastia or breast cancer. The large majority of submitted testimony opposes the bill, arguing it discriminates against transgender youth and intrudes on medical decisions best left to patients, families, and doctors, while a smaller group of supporters argue minors lack the maturity to consent to irreversible surgery and that such procedures should wait until adulthood.
- Minors lack the maturity to consent to irreversible surgerySupport16 of 360 reviewed
Supporters argue adolescents' brains are still developing and they are not equipped to fully grasp the lifelong consequences of surgery, so such procedures should be delayed until adulthood.
“Scientific research has shown that the human brain, particularly the areas responsible for long-term decision-making and impulse control, continues to mature well into early adulthood.”
— Sayra DeVito, Danville · #492024 — read full submission →
“Children are not intellectually sound enough, they are impulsive and easily influenced.”
— Caitlin Smith, Pittsfield · #496412 — read full submission →
- Surgery causes irreversible harm and future regretSupport9 of 360 reviewed
Supporters argue that breast surgery permanently removes tissue and function, such as the ability to breastfeed, and that minors may come to regret a decision made before adulthood, framing such procedures as a form of harm to be prevented.
“Breast removal in the name of transgender medicine eliminates the ability to breastfeed in the future. Many young girls undergoing these surgeries may not yet be thinking about motherhood, but as they grow older, some will deeply regret losing this option.”
— S. Yule, Avon · #487882 — read full submission →
“BILL HB712 establishes what should have otherwise been the undisputed norm and common sense. It is fundamentally supported by our culture and science. It has to pass and become law. Children mutilation has to stop.”
— Emil Campeanu, Derry · #490556 — read full submission →
- Evidence base for gender-affirming surgery is weakSupport3 of 360 reviewed
Some supporters argue that international systematic reviews have found the risks of gender-affirming care outweigh the benefits and that claims of medical consensus supporting these surgeries are overstated or based on discredited sources.
- Bill would deter providers profiting from unnecessary surgerySupport2 of 360 reviewed
Some supporters argue the bill's private right of action would hold accountable healthcare practitioners they believe are financially motivated to perform unnecessary surgeries on vulnerable minors.
- Medical decisions belong to patients, families, and doctorsOppose65 of 360 reviewed
The most common objection is that decisions about a minor's medical care, including surgery, should be made privately among the patient, their parents or guardians, and their medical team, not dictated by legislators who opponents say lack medical expertise.
“Medical decision making needs to be left to medical professionals, the patient and their families. Government has no business determining what is medically appropriate for an individual.”
— Jessica Sherman, Bedford · #493026 — read full submission →
“The legislature does not have a medical license. Stop trying to legislate things that should be between doctors and their patients.”
— Amy Agostino, Londonderry · #497238 — read full submission →
- Bill discriminates by singling out transgender youthOppose37 of 360 reviewed
Opponents argue the bill is discriminatory because it bans chest surgery specifically for transgender minors while still permitting comparable breast-reduction procedures for cisgender conditions such as gynecomastia, treating the same procedure differently based on the patient's gender identity.
“by exempting other cases of gynecomastia, this bill exposes itself as blatantly discriminatory. Unwanted breast tissue in a male person is precisely what gender affirming "top surgery" aims to correct.”
— Benjamin Stinson, Concord · #493480 — read full submission →
“It specifically allows for the removal of "excessive breast tissue" for cisgendered minors while denying the same for transgendered youth”
— Julie Desmarais, Hollis · #490190 — read full submission →
- Restricting care raises suicide and self-harm riskOppose17 of 360 reviewed
Opponents argue that denying transgender youth access to gender-affirming care, including surgery when medically indicated, increases rates of depression, self-harm, and suicide, citing research such as Trevor Project data showing sharp increases in suicide attempts following anti-transgender laws.
“states that passed anti-transgender laws aimed at minors saw suicide attempts by transgender and gender nonconforming youth increase as much as 72% in the following years.”
— Kacie Petrin Ellis, Brookline · #491259 — read full submission →
“Lack of access to gender-affirming care will result in an increased risk of suicide in this population.”
— Adrianna Wheelock, Concord · #488192 — read full submission →
- Endorsed by major medical organizations as necessary careOppose20 of 360 reviewed
Opponents note that gender-affirming care, including surgery when appropriate, is supported by leading medical bodies such as the American Academy of Pediatrics, American Medical Association, and WPATH as evidence-based and medically necessary treatment.
“The American Academy of Pediatrics (AAP) and other major medical organizations — including the American Medical Association, the American College of Obstetricians and Gynecologists and the World Health Organization — support giving transgender adolescents access to the health care they need.”
— Ann Bracken, Hanover · #489731 — read full submission →
“House Bill 377 and House Bill 712 would prevent Granite State youth from receiving evidence-based, medically necessary care that research shows can benefit the mental health and well-being of transgender youth.”
— Jennifer Kimball, Hampton · #488300 — read full submission →
- Surgery in minors is exceedingly rare; bill addresses no real problemOppose16 of 360 reviewed
Opponents argue that top surgery is rarely, if ever, performed on minors in New Hampshire, making the bill an unnecessary solution to a problem that does not meaningfully exist.
“this is a cruel bill in search of a non-existent problem. Most transgender youth do not even begin hormone replacement therapy in their youth”
— Mia Engelbert, Manchester · #493472 — read full submission →
“Vanishingly few transgender youth receive top surgery. Children's medical care is decided between the patient, their parents, and their doctors, following the gold standards of professional care”
— Lynne Powers, Hooksett · #495573 — read full submission →
- Bill infringes on parental rightsOppose8 of 360 reviewed
Some opponents frame the bill as undermining parents' authority to direct medical care for their own children, arguing that decision-making should remain with the family rather than the state.
“It is a parent's job to make medical decisions for their child, not the government. This bill infringes on parental rights.”
— Amelia Brock, Concord · #497611 — read full submission →
“This takes control away from parents who know their child best and should determine the correct course of action with their doctor for their child. It is an infringement of parental rights.”
— Jennifer Ward, Sandown · #495620 — read full submission →
- Creates legal liability that would chill medical careOppose11 of 360 reviewed
Opponents warn that the bill's provisions exposing surgeons to lawsuits, license discipline, or criminal penalties would discourage medical professionals from providing legitimate, evidence-based care out of fear of legal repercussions.
“creating a private right of action against surgeons who perform these procedures sets a dangerous precedent that could deter medical professionals from providing necessary care out of fear of legal repercussions.”
— Sarah Harlin, Pembroke · #488049 — read full submission →
“this bill creates unnecessary legal risks for providers, discouraging them from offering essential care.”
— Brooke Perlee, Milford · #487660 — read full submission →
Generated by claude-sonnet-5 (claude code agent) on Jul 20, 2026. Quotes are verbatim excerpts, verified against the cited submission before publication. Summaries are AI interpretation of the record, not part of it.
Dear members of the House Health, Human Services and Elderly Affairs Committee, I am urging you to vote OTP on HB712, banning breast surgery on minors, except when medically necessary, i.e., cases of breast cancer in minors, gynecomastia in males, etc. I do not believe minor children have the inellectual and emotional maturity to make permanent life-altering decisions such as mastectomies or breast augmentation surgeries for cosmetic reason or as part of surgical transgendering. These kinds of permanent physical alteration decisions should be reserved for adults. Plase vote OTP on HB712. Thank you!
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There are young women who need surgery to be comfortable. I knew a girl in high school who needed reduction surgery, and my wife knew someone as well. Criminalizing this and specifically including a provision to promote lawsuits against the surgeons performing the procedures is nonsensical and harmful. Please oppose this.
I write today in opposition to HB712 and HB 377. The state should not involve itself in the relationships between patients, their families, and health care professionals. It is an incredible invasion of privacy for the patients, and interferes with the professional obligations of surgeons, doctors, and other health care workers to provide evidence-based care for their patients. When it comes to young people and children, their parents or caregivers and their health care providers should be involved with the patient in decision making to decide what is in the child's best interest - not legislators, neighbors, or activists with an agenda. As a woman who receives my health care in the state of New Hampshire, one of the most important things to me is that the relationship between me and my primary care provider is private, trustworthy, and personalized for my situation. The government should not be involved in health care decisions, whether on the basis of cost, personal preference, timing, or anything else. We need the freedom to make up our minds for ourselves and our families with advice that we trust. These bills ignore science. To start, "biologic female" and "biologic male" are not defined terms. The Journal "Nature" published an article in 2015 noting that "Some researchers now say that as many as 1 person in 100 has some form of DSD" (DSD is the medical terminology for intersex conditions.) The article lists numerous conditions that would rule out defining a person as a "biologic" male or female based on chromosomes, hormones, genes, and physical characteristics. The Journal "Cell" published a similar article in 2024, again clarifying that from a scientific perspective there are not just two sexes. These bills make no provision for how intersex people will be treated. In addition, the care this bill aims to prevent - gender-affirming care for transgender and non-binary young people - has been researched and when it is warranted has important benefits that protect young people who are at risk.The Health and Human Services Fact Sheet on Gender Affirming Care for young people notes "Medical and psychosocial gender affirming healthcare practices have been demonstrated to yield lower rates of adverse mental health outcomes, build self-esteem, and improve overall quality of life for transgender and gender diverse youth." Please do not advance these bills, for the sake of the privacy, dignity, logic, and health of New Hampshire residents. Sarah Morton Campton, NH
Blanket legislation applied to personal medical issues is unsafe and inappropriate.
I am firmly opposed to this and all other Bills attempting to restrict the access of trans folks to the healthcare they need to live healthy and happy lives. There is simply no argument for blocking access to healthcare for kids who need it. Choices of how and when to access what type of care should be in the hands of the child and their parents, and be between them and their doctors without interference from the state. I urge the committee to oppose this bill
We trust healthcare professionals to deliver our babies, help us recover from illness and injury, and we rely on their medical expertise. We need to let them do their job which is to practice medicine. Members of the NH Legislature are not qualified to make medical decisions. Stay in your lanes.
I trust my healthcare providers to practice medicine in the manner in which they were trained to do so. Members of the NH Legislature are not qualified to make medical decisions. Stay in your lanes. Llet medical professionals practice medicine.
Legislators have no business interfering with deeply personal medical decisions that are not theirs to make.
Legislators should not be making medical decisions. Whether a child receives breast treatment or not should be up to a child, her/his family, and their physician. I am not sure why the Legislature of a State that prides itself on the motto, "Live Free or Die" continually tries to regulate such personal and intimate decisions.
Dear Members of the Committee, I am writing to strongly oppose HB 712. Please remember our state has traditionally been a. supporter of parental rights. This bill undermines parental rights. Additionally, transgender teens, like all teens, have the best chance to thrive when they can get the health care they need and when they are supported in their schools, their communities, and their families. The government should not be getting in the middle of decisions made by patients, their parents, and their health providers. Please defend NH's parental rights by finding HB 712 ITL. Thank you, KImberly Shaw
Pushing this gender confusion on our children is child abuse. Letting them make life/ body changes before they are cognitively developed is insane. They are unable to buy cigarettes and alcohol unless they are 21 but they can decide they are a different gender at 10. (Or younger ) Makes sense. Pure insanity.
This bill will harm trans people and denies the scientific reality that these forms of medical treatment not only improve the quality of life of trans individuals but may in some cases save their lives. Denying access to medications or medical procedures does nothing to protect trans youth in our state, and is nothing more than a cynical attempt to erase the reality of transgender people, who have recently become the target of discriminatory legislation that seeks to reduce or eliminate their visibility in society, and to bully, harass, and intimidate them in both public and private spaces, while denying them access to facilities and services that are the right of all. I strongly oppose this bill.
I VEHEMENTLY OPPOSE THIS BILL! Fear mongering at its finest!
As a school social worker I believe that transgender teens, like all teens, have the best chance to thrive when they can get the health care they need and when they are supported in their schools, their communities, and their families. The government should not be getting in the middle of decisions made by patients, their parents, and their health providers.
It is a parent's job to make medical decisions for their child, not the government. This bill infringes on parental rights. Politicians are not medical experts. Butt out of families personal lives.
Gender affirming care is health care. Adults and youth of all ages deserve to get the treatment they need to make themselves feel comfortable in their own bodies. Healthcare professionals are doing their best to help their patients in any way possible and should not be punished for it. Get politics out of the exam rooms.
I oppose this bill and I’m very concerned that people are spending this much time thinking about other children’s breasts.
Gender affirming care is an essential component of compassionate care that allows for individualization of healthcare. Limiting access to medications or surgical procedures in this capacity inhibits a healthcare provider's ability to fully care for their patients' physical, emotional and sexual well-being.
The reality is that there are guidelines used by doctors that already advise against breast surgery for those under 18 years of age. The breasts must be fully developed in order to do breast augmentation or reduction. The FDA does not approve of breast augmentations for those under 18. In regards to breast surgery to align someone's gender with themselves, doctors already put timelines and expectations in place to prevent someone getting breast surgery, either reduction or augmentation, and then regretting it later. These decisions are to be made by a person, their medical professionals, and if under 18 their parents/guardians. In short, keep your laws off people’s bodies.
Here's another one! Manipulating transgender issues for political gain and undermining family decision making. You're lack of understanding and unwillingness to learn is destructive and unbecoming for a legislator. Our citizens deserve more leadership and compassion.
I urge you to vote ITL or no on this legislation. Even in the text of the bill where the estimated cost is discussed NH DHHS states that the occurrence of this type of surgery is "extremely rare". The World Professional Association for Transgender Health (WPATH) opposes legislation that bans gender-affirming care for transgender and gender diverse people. WPATH's Standards of Care (SOC) are based on science and evidence. These standards are recognized by the major medical associations in the United States. it is not the place of the people of NH to "vote" on health care. this is between the person in question, Their family if they are still under 18, and the medical professionals. for the live free or die state we are doing a lot of paying attention to things that are none of anyone else's concern. I can also tell you that as a transmasculine person who has had top surgery that this was by far one of the most incredible and affirming things in my life. My only regret is that I wasn't able to do it sooner. In fact studies show that folks who regret gender affirming surgery is less than 1% which compared to most other surgeries is significantly lower. The process to get to a point where this is happening doesn't happen easily or overnight...or at school the way Trump would have you believe in his campaign speeches. This legislation isn't needed and isn't the jurisdiction of legislation. it is one more piece of legislation in the stack of bills targeting transgender and gender non-conforming people and needs to stop. Tye Thompson Nottingham, NH
The legislature does not have a medical license. Stop trying to legislate things that should be between doctors and their patients. Please oppose this bill
Stop regulating other peoples bodies. Your opinion has nothing to do with a persons human rights!