A federal judge in the US state of Texas has ruled that medical professionals cannot be compelled to carry out gender reassignment surgeries if they have medical or religious objections. Prior to the temporary injunction handed down by District Judge Reed O’Connor of the Northern District of Texas, such objections were overruled, on sex discrimination grounds, by the Obama administration’s Affordable Care Act of 2010. “The regulation not only forces healthcare professionals to violate their medical judgment, it requires them to violate their deeply held religious beliefs,” Judge O’Connor pointed out. “Tragically, the regulation would force them to violate those religious beliefs and perform harmful medical transition procedures or else suffer massive financial liability.” Since the passing into law of the Affordable Care Act, critics have argued that doctors must be free to exercise their professional judgment in deciding medically appropriate actions for patients in their care. Simultaneously, a number of studies have revealed that the majority of children experiencing gender dysphoria will outgrow it by adulthood. Johns Hopkins University, once a pioneer in sex reassignment surgery, has since ended the practice, finding that it was actually damaging to those who undergo it.