In Reply The Letter from Hunter incorrectly undermines the importance of access to gender-affirming care (GAC) for transgender youth in the US.1 We agree that the safety and efficacy of GAC deserve careful attention; however, the current literature and guidelines from both medical and sociopolitical organizations do not (and should not) support legal barriers for transgender and gender-diverse adolescents seeking care. Although policy changes in Sweden and Finland may serve as case studies, these countries are among the few that endorse extreme measures that include prohibition of GAC for youth. Most countries continue to support GAC for gender-dysphoric adolescents based on expert consensus that the known benefits of treatment clearly outweigh risks.