The Republican-controlled New Hampshire state House voted Thursday to approve a bill barring physicians from performing gender-affirming genital surgeries on transgender minors, sending the controversial measure to the Senate, where it is also expected to pass. House Bill 619 had initially sought to ban all gender-affirming medical care, including puberty blockers and hormones, for transgender minors but was later amended to prohibit only genital surgeries, which are already exceedingly rare for minors.