Families across Queensland are again carrying the weight of uncertainty. The Supreme Court’s decision brought hope — but a new government directive has kept gender-affirming care out of reach for many young people.
Here’s what families and allies need to know, and how we’re standing together through it.
What You Need to Know
1. The Court ruled the original ban was unlawful.
On 28 October 2025, the Queensland Supreme Court found that the previous health directive banning puberty blockers and hormone therapy for trans young people was made without proper consultation and would also have failed on other legal grounds.
2. The Government reinstated the ban the next day.
Just hours later, the Queensland Government issued a new Ministerial Direction (QH-MD-002) that continues to block patients under 18 who had already started hormone treatment and those who were waiting to start it, in public health services.
3. Services remain closed while the Vine Review continues.
Public gender services in Queensland remain closed to new trans young people and those already on the waiting list — leaving 491 young people without access to gender-affirming care.
These services will stay paused until after the Queensland Government receives and responds to the findings of the Vine Review, which is due to be handed to government on 30 November 2025. The Review’s scope and approach have been widely criticised by experts and community advocates for overlooking lived experience and established clinical evidence.
Project 491 has been established to create interim pathways for affected Queensland families — more information is available via AUSPATH’s website.
4. Families and advocates are taking action together.
Organisations including Transcend Australia, Equality Australia, LGBTI Legal, QTrans, Trans Justice Project, Open Doors Youth Service, LGBTIQ+ Health Australia, AusPATH, Queensland Council for LGBTI Health and many others are working collaboratively — through legal action, advocacy, and peer-support initiatives — to restore access to evidence-based care and keep families connected.
5. We have a petition!
Help us show that it’s not in the public interest for any government to interfere in the healthcare decisions that should be left to young people, their families, and medical professionals. Sign our joint petition.
6. You are not alone.
These decisions have caused enormous distress for young people and their families. If you need support, please contact our Family Support Team transcend.org.au/contact
Read the Queensland Gender-Affirming Care Update fact sheet (31 October 2025)
