The report highlights the following major findings: 

• Children as young as three years old were referred for gender identity programs. 
• 1,716 minors were identified as recipients or in line for hormone therapies in 2023 alone. 
• None of the drugs used—including GnRH analogues—have been approved by Chile’s public health regulator for gender dysphoria in children. 
• Parental consent procedures were absent or inconsistent, and some interventions proceeded without it. 

The report states: 

“It is clear that the current programs, under the guise of accompaniment, have operated as a gateway to irreversible medical and hormonal transition for children, without the necessary scientific, ethical, or legal safeguards.” 

 It further states: 

“The therapeutic indication of these treatments in minors lacks adequate evidence and carries high risks. The principles of medicine—primum non nocere (first, do no harm)—have been disregarded.” 

 The report calls for: 

• Immediate suspension of the PAIG and PST programs 

• A ban on hormonal and surgical interventions for all minors 

• Legislative reform of Chile’s Gender Identity Law to restore parental rights and restrict access 

• Referral to the Public Prosecutor’s Office for possible criminal violations 

It is widely expected that the Congress will now move to legislatively bar the use of puberty blockers, cross sex hormones, and so-called surgical transitioning for minors. 

The report follows last year’s vote introducing an amendment to ban the use of public funds for “gender transitioning” of children. That amendment was later struck down by the Constitutional Court over separation of powers grounds, but this vote reveals a consolidated majority of lawmakers in favor of restricting “gender transition” for minors. 

 Henríquez added: 

“This is a turning point—not only for Chile, but for the entire region, in the disavowal of the lie of gender ideology. Lawmakers have listened to the evidence, the science, and the voices of parents. The so-called gender-affirming model is collapsing globally, and Chile is now leading Latin America toward a more responsible and ethical approach to gender dysphoria in youth.” 

The report mirrors international developments such as the UK’s Cass Review, which concluded that the so-called “gender-affirming approach” lacks an evidence base and places children at risk. It also follows the release of the US Department of Health and Human Services Gender Dysphoria Report in April. 

ADF International has urged Chilean authorities to implement the Commission’s recommendations without delay and to ensure that all children receive compassionate, evidence-based psychological support without being steered toward dangerous life-altering medical procedures.