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H.R.3492 - Protect Children’s Innocence Act Under the bill’s definition, prohibited surgical interventions include procedures that permanently alter a minor’s reproductive anatomy to simulate the appearance or function of the opposite sex. This includes surgeries such as vaginoplasty, penectomy, and phalloplasty, which involve the removal or reconstruction of healthy sexual organs. These procedures result in permanent sterilization and lifelong loss of sexual function, placing them squarely within the category of bodily mutilation when performed on children. https://www.congress.gov/bill/119th-congress/house-bill/3492/text