Texas has launched unprecedented legal action against three physicians, marking the first enforcement of state laws banning gender-affirming care for minors in the United States [1][2].

Dr. Hector Granados of El Paso and Dallas-based doctors May Lau and M. Brett Cooper face lawsuits filed by Texas Attorney General Ken Paxton alleging violations of the state's 2023 ban on gender-affirming care for minors [3]. The cases could result in license revocation and financial penalties.

Granados strongly denies the accusations, stating he meticulously halted transgender care before the ban took effect. 'It was something that needed to be followed because it's the law,' he told The Associated Press [4].

The state specifically alleges Granados prescribed testosterone to a 16-year-old after the ban, though Granados maintains any hormone treatments were for legitimate endocrine disorders unrelated to gender transition [3].

While the cases proceed, Drs. Lau and Cooper are restricted to research and academic work only. Granados' trial is scheduled for October 2025, with trial dates pending for the other physicians [4].

The legal action comes amid expanding restrictions nationwide, with 27 states now having similar bans. Texas is the first to pursue enforcement through civil litigation rather than criminal charges [2].