As with any controversial subject, even in its scientific evaluation, the bias of the researchers must be examined and studies disqualified. More studies, double blinded and placebo controlled, must be done longitudinally to determine the disqualification of what has been an effective therapy for many. What is best for children in all the context of their development, psychosocial environment, and experience in adult gender and biological congruity, is to first do no harm. Va Dept of Health would disallow children and teens who desire to get treatment for same sex attraction or gender dysphoria from the possibility to self actualize to their own preferred future. It also violates patient autonomy. Transgender change is permanentand will result in sterility when it goes to hormone and surgical therapy, and the Department of Health will be doing permanent harm if it approves medical intervention in children beyond the counselling phase. This would make the state complicit in malfeasance. The data and how it is collected and reported is not convincing to solely give only gender affirming therapy to a venerable child, for what if that child changes their mind? For these reasons, I request that therapies be available, but do not ban talk therapy for those who are confused about their sexual or gender identity. Give a choice until you have better data.