(NEW YORK) — The Department of Health and Human Services (HHS) released a final version of its report on pediatric gender-affirming care on Wednesday, claiming it found “medical dangers posed to children,” which is receiving pushback from medical groups.

The report alleged that gender-affirming care — including puberty blockers, cross-sex hormones and gender-affirming surgeries — caused significant, long-term damage.

It comes after HHS published in May an early version of what it referred to as a “comprehensive review” of transgender care for children and teens, in which it called for a broader use of psychotherapy for young people with gender dysphoria rather than gender-affirming medical interventions.

The HHS referred to the final version of the report as “peer-reviewed,” but some of

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