In 2025, two concurrent reviews were established to consider the provision of gender-affirming healthcare to minors in Australia: a state-based review in Queensland and a national process led by the National Health and Medical Research Council. These reviews emerged in the context of prolonged legal and clinical uncertainty, intensified by the growing politicisation of this topic in Australia and globally. This article examines the origins of these two review processes, their institutional authority, and their capacity to provide a robust foundation for future practice and access to care. It argues that the national process is capable of delivering a coherent and credible framework to guide gender-affirming care for minors, whereas Queensland’s review risks entrenching uncertainty through jurisdictional fragmentation. National guidelines offer a pathway to address the existing challenges by providing an evidence-based foundation for clinical practice, legal and regulatory certainty, and fair access to care for those who need it.
Aidan; id_orcid 0000-0001-5903-182X Ricciardo (Sat,) studied this question.