The American Medical Association (AMA) has denied claims that it has withdrawn from support for gender-affirming care for minors, despite political pressure and public confusion. The controversy arose when The New York Times reported that the AMA had aligned with the American Society of Plastic Surgeons (ASP) in backing limits on such surgeries, which was perceived as a shift. The AMA defended its position, arguing that the interpretation overstated its position and its policies had not changed. In a recent board newsletter, the AMA stated that its policies remained unchanged and that gender affirmation care is "medically necessary" and should be guided by patients, families, and physicians rather than government mandates. The clarification follows weeks of scrutiny that blurred the distinction between long-standing clinical caution and a broader retreat that medical groups claim never occurred.