Texas Attorney General Ken Paxton disputes the American Medical Association, the American Psychiatric Association, the American Academy of Pediatrics, and the position that those respective organizations have taken in support of individualized care of children who experience gender dysphoria. Such individualized care could include treatments such as hormone therapy and puberty blockers. On Feb. 18, 2022, Paxton issued Opinion No. KP-0401, regarding "Whether certain medical procedures performed on children constitute child abuse (RQ-0426-KP)." The focus of his inquiry:

"Whether facilitating (parents/counselors) or conducting (doctors) medical procedures and treatments that could permanently deprive minor children of their constitutional right to procreate, or impair their ability to procreate, before those children have the legal capacity to consent to those procedures and treatments, constitutes child abuse."