The Colorado ‘Gender-Affirming’ Pipeline

Colorado’s institutional support for so-called gender-affirming care for minor children has recently come under scrutiny following a near-unanimous Supreme Court ruling against the state in March 2026.

That 8–1 decision effectively struck down a 2019 Colorado law that impermissibly restricted therapists’ speech aimed at aligning patients’ “gender identity” with their biological sex, wrongly labeled “conversion therapy” by opponents.

Yet this unconstitutional law was merely one element of the Centennial State’s radicalism on pediatric transgender ideology. The following report presents findings from a review of 279 files, amounting to several thousand pages, obtained through the Colorado Open Records Act and reveals the shocking scope of the state’s publicly funded youth “gender-affirming care” infrastructure.

Notably, the records contain no consideration of alternative treatment approaches and appear to leave Colorado’s youth healthcare providers with one sole option: to affirm a child’s gender incongruence and pave the way towards sex-rejecting procedures.

Continue reading the full report below.