Fact check: Republicans’ deceptive ads on key Democratic candidates’ stances on gender surgery for children

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Across the country, Republican groups are running deceptive ads attacking Democratic Senate candidates on the subject of gender surgery for children.

CNN reviewed ads that have aired in competitive races in Ohio, Texas, Iowa and South Carolina. They use a variety of false or misleading tactics.

In Ohio, two Republican ads accusing Democratic candidate Sherrod Brown of supporting gender surgeries “for minors” feature the personal story of a woman who laments that she received hormone injections and surgery, then asserts seconds later, “I was a kid”; she says in one of the ads that her surgery happened “without my parents’ consent.” But the woman had the surgery at age 19 , when she was a legal adult for whom no parental consent was necessary.

In Texas, at least two Republican ads claiming that Democratic candidate James Talarico supported spending taxpayer money on gender surgeries for minors cite his vote against a 2023 state bill that banned both the surgeries and other gender identity care for people under age 18. But the ads ignore the fact that Talarico voted in favor of failed amendments that would have let the bill ban the surgeries for minors while continuing to allow them to have access to hormone therapy and puberty-blocking medication. Talarico says he opposes the surgeries for minors.

In Iowa, a Republican ad claims Democratic candidate Josh Turek voted to spend public money on gender surgeries for minors. But its supposed evidence is Turek’s 2025 vote on a health care measure that wasn’t even about gender surgeries for minors, which were already prohibited in Iowa. The multi-part measure did create a new prohibition on state Medicaid money being used to pay for gender identity care for adults, but Turek explained at the time that his opposition was based on provisions unrelated to gender policy – insufficient funding, he argued, for programs supporting elderly, disabled and low-income Iowans. Turek’s campaign says he opposes the surgeries for minors.

And a Republican ad in South Carolina does not cite any source for its claim that Democratic candidate Annie Andrews “isn’t shy” about supporting gender identity care including “surgeries – for minors.” Andrews has said for years that she opposes the surgeries for minors, though she does support other gender identity care for them. The ad displays what looks like a newspaper op-ed headline reading “Annie Andrews: Trans the Kids,” but it’s an artificial image featuring gibberish as the supposed article text.

The limited available data suggests a tiny percentage of transgender people receive surgery as minors and that the vast majority of the gender surgeries that minors do receive are chest procedures between the ages of 15 and 17 .

Various other media outlets have previously addressed the accuracy of the ads we are discussing in this article, including PolitiFact , Popular Information and the Austin American-Statesman . Here are more facts about each of the ads.

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At least three deceptive ads attacking Brown on gender issues have been aired by the Senate Leadership Fund, an organization aligned with Republicans’ Senate leadership. Two are narrated by a woman, Soren Aldaco, who has said she underwent a double mastectomy in 2021 as part of a transition to male. Aldaco came to regret the transition and the surgery, which she says was “botched,” and became vocal as a “detransitioner.”

In one of the ads, Aldaco begins: “Sherrod Brown supports sex changes for minors – irreversible surgery on kids. Like me.” She then says, “At 11, I was groomed by strangers online. At 15, a doctor told my family I was transgender. Hormone injections, then surgery – without my parents’ consent. I was a kid.” In the other ad , Aldaco again mentions the hormone injections and the surgery, says she endured “years of trauma,” then says, “I wasn’t born in the wrong body. I was a kid. But Sherrod Brown supports sex-change surgeries for minors and admitted he would never oppose it.”

According to her own account of her journey, though, Aldaco was legally an adult when she received the surgery. As News 5 Cleveland pointed out last week, she has made clear that she received the surgery at 19 – an age at which parental consent is not required for medical treatment – and that the procedure took place at a clinic in Texas. Brown represented Ohio in the Senate from 2007 to 2025 and an Ohio district in the House before that.

Asked for comment, Senate Leadership Fund spokesperson Chris Gustafson noted that Aldaco has said she was prescribed hormones as a 17-year-old minor at an appointment she was taken to by her stepmother rather than the mother who had legal authority over her. Aldaco defended her comments on similar grounds, highlighting that she was a minor when she began identifying as transgender and receiving gender identity care.

“I was 11, freshly groomed, when I started identifying as trans – 15 when doctors got involved, 17 when they prescribed hormones without valid consent, and 19, still a teenager and a college kid, when I underwent a double mastectomy – and I’ll never get back the seven years of childhood that recent reporting has omitted,” she said in an email.

But Aldaco didn’t say in the ads themselves that she was 19 or “a college kid” at the time of the surgery. Rather, shortly after mentioning the surgery, she said in each ad that she was “a kid.” Coupled with the ads’ focus on gender surgery “for minors,” Aldaco’s comments in the ads leave the clear and false impression that her surgery, not just her previous treatment, occurred when she was a minor.

Brown released a response ad this week in which a narrator says, as an image of Aldaco is shown on screen, “Seen these ads? They’re a complete lie. Records show not only is this woman actually from Texas, she didn’t have any surgery as a minor.”

The Senate Leadership Fund has run another ad on the same topic. It begins: “Abused and exploited by an extremist agenda. Forcing childhood sex-change surgery. But Sherrod Brown stands with these extremists.” This ad cites no sources, and there is no evidence Brown has supported “forcing” surgery on children or anyone else, as PolitiFact noted last week.

Both of the ads that feature Aldaco cite the same Columbus television news segment from 2023 for the claim that Brown supports gender surgeries for children. We couldn’t track down the full clip, but the Brown quote the Senate Leadership Fund has previously cited as evidence is this: “A child’s health care decisions are between them, their parents, their families, their doctors, not politicians. I will never agree with anybody that wants to bring politics into the family situation with health care, period.”

Brown made that comment in response to a question from WSYX ABC 6 journalist Darrel Rowland . Upon request this week, Rowland, who is now retired, provided a transcript of the exchange. He had asked Brown a question about his relationship with then-Ohio senator JD Vance, noting at one point that Vance had just introduced a bill “dealing with what he called genital mutilation, making gender-affirming care illegal” (for minors). Brown’s reply is open to interpretation, but it didn’t specifically mention surgeries, and the question he was addressing also invoked “gender-affirming care” more broadly.

Brown released a response ad in September that pointed out it’s illegal in Ohio to provide gender surgeries on minors – that’s been the case since 2024 – and dismissed this Republican attack as a distraction from important issues like high prices. It did not specify a Brown position on the surgeries in general.

“In Ohio, this is already settled law. Sherrod is focused on taking on the rigged system and improving the lives of Ohioans,” campaign spokesperson Lauren Chou said in an email this week, going on to criticize Brown’s Republican opponent, Sen. Jon Husted.

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Wealthy Trump ally Elon Musk’s America PAC has run numerous midterm ads blasting Democrats on gender issues. One of them claims Talarico voted “for taxpayer-funded sex changes on kids.” An ad from Texas PAC, a group connected to the Senate Leadership Fund, similarly says, “Talarico supported using taxpayer dollars for sex-change surgeries on young children.”

Both ads make clear they are basing the claim on the fact that Talarico voted against a Texas state bill in 2023 that banned not only gender surgeries for minors but also other forms of gender identity care for minors, like hormone therapy and puberty blockers; state Attorney General Ken Paxton, Talarico’s opponent and the state’s chief lawyer, has asserted that the prohibition also covers mental health care that facilitates a minor’s transition. But neither ad mentions that Talarico had voted for unsuccessful amendments that would have limited the bill to the surgery ban.

Asked for comment, Talarico’s campaign said he opposes gender surgeries for minors. The campaign pointed to a September interview with Fox News in which he explained his 2023 votes.

Talarico called the 2023 bill “overly broad” and correctly said that “if you go back and check, I voted for a major amendment to limit the bill to banning surgeries for minors.” He added, “As a lawmaker, my job is to try to sift through everything the bill does. And sometimes there’s stuff in it that’s really harmful, and I have no choice but to oppose the bill as a whole. It’s why I try to use amendments, to narrow the focus of the bill so that it does exactly what we intend it to do.”

Asked for comment, Gustafson of the Senate Leadership Fund reiterated that Talarico voted against the 2023 bill. His email acknowledged that the bill also banned hormone therapy and puberty blockers for minors, but it did not address Talarico’s support for an attempt to limit the bill to a surgery ban. A spokesperson for Musk’s group did not reply to a request for comment.

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An inaccurate Iowa ad from Musk’s group claims that Turek, a state representative now running for Senate against Rep. Ashley Hinson, “voted to spend our tax dollars on sex-change surgeries for children.” It cites Turek’s vote on a broad 2025 item in the state House.

That measure did multiple things, including provide money for health care and veterans’ services. It also included a ban on state Medicaid funds being used to reimburse various kinds of gender identity care for people of any age. Specifically, it said the money “shall not be used for reimbursement for sex reassignment surgery or associated procedures, including hormone therapy or other medical interventions intended to alter primary or secondary sex characteristics related to an individual’s gender dysphoria diagnosis.”

Even if Turek had voted against the broad measure because he opposed this specific provision, that wouldn’t mean he voted in favor of spending tax money on gender surgeries “for children” as the ad claims. That’s because Iowa had already banned gender surgeries, hormone therapy and puberty blockers for minors in 2023 (in a vote for which Turek was absent ).

And according to the speech Turek gave before the vote on the measure in 2025, his vote wasn’t even focused on the gender-related provision. Rather, he spoke of how he thought the measure was inadequate in dealing with a “fundamentally unfair and unjust” long wait list for home and community-based services for disabled people, a big shortage of care workers “that really affects the most vulnerable in our state, the disabled and the elderly,” and a loss of funding for a food assistance initiative, among other issues unrelated to gender policy.

Turek’s campaign told PolitiFact earlier this year that he opposes gender surgeries for children, and a campaign spokesperson said in an email this week: “Josh opposes taxpayer-funded sex changes, and anyone who says otherwise is lying.” The spokesperson for Musk’s group did not reply to a request for comment.

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Andrews, a pediatrician, said during her unsuccessful 2022 run for a House seat that she had “never” supported gender surgeries on minors and that the hospital where she had worked for more than a decade did not perform these procedures. She wrote on social media in 2024: “You would be hard pressed to find a South Carolinian who is MORE on the record on this issue than me. No. I don’t support gender affirming surgeries on minors. Because there isn’t evidence to support it.”

But an ad this year from Security is Strength PAC, which backs her Republican Senate opponent Sen. Darline Graham, features a narrator claiming “Annie Andrews isn’t shy about her support for medical interventions like puberty blockers, hormones, and surgeries – for minors.”

Andrews is on record supporting “gender-affirming care” for minors in general, including the use of puberty blockers and hormones, on the grounds that it has “been shown to reduce the incidence and frequency of suicide and suicidal ideation in trans youth.” She said last year that such treatments are given to “a subset” of children identifying as a different gender and employed “after many, many, many meetings with pediatricians, endocrinologists, mental health providers.”

But the ad provides no basis at all for the claim she supports minors getting gender surgeries in particular, which she has repeatedly opposed. Instead, the ad displays a fake newspaper featuring an imaginary “Annie Andrews: Trans the Kids” headline above article text that is clearly gibberish if you look closely enough.

Asked for comment, Security is Strength noted Andrews’ public opposition to two pieces of state legislation. One was a 2021 state proposal to forbid gender surgeries, hormone therapy and puberty blockers. The other was a 2024 state law that both eliminated all these things for minors and required public schools to immediately notify a parent if a child requests different pronouns or tells an employee their gender doesn’t match their sex.

None of that proves the ad’s claim that Andrews supports gender surgeries for minors. Opposing legislation that broadly eliminates gender identity care for minors does not mean someone supports surgeries in particular.

Andrews released a reply ad this week in which she says Graham is “lying” about her and that “I don’t support and haven’t ever performed gender surgery for minors.”

CNN’s David Wright contributed to this article.

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在全国范围内，共和党团体投放欺骗性广告，攻击民主党参议院候选人在儿童变性手术问题上的立场。

CNN审查了在俄亥俄州、德克萨斯州、爱荷华州和南卡罗来纳州竞争激烈的选举中播出的广告。这些广告使用了各种虚假或误导性手段。

在俄亥俄州，两则共和党广告指责民主党候选人谢罗德·布朗支持“未成年人”变性手术。广告中讲述了一位女性的个人经历，她先是抱怨自己接受了激素注射和手术，几秒钟后又声称“我当时还是个孩子”。其中一则广告中，她声称自己的手术“未经父母同意”。但事实上，这位女性接受手术时已年满19岁，当时她已是法定成年人，无需父母同意。

在德克萨斯州，至少有两则共和党广告声称民主党候选人詹姆斯·塔拉里科支持用纳税人的钱为未成年人进行变性手术，并援引了他2023年投票反对一项州法案的事实。该法案禁止为18岁以下的人进行变性手术和其他性别认同治疗。但这些广告忽略了一个事实：塔拉里科曾投票支持一些最终未获通过的修正案，这些修正案本可以让该法案禁止为未成年人进行变性手术，同时继续允许他们接受激素治疗和青春期阻断药物。塔拉里科表示他反对为未成年人进行变性手术。

在爱荷华州，一则共和党广告声称民主党候选人乔什·图雷克投票支持将公共资金用于未成年人的变性手术。但该广告所谓的证据是图雷克在2025年就一项医疗保健法案的投票，而该法案甚至与未成年人变性手术无关，而且爱荷华州早已禁止此类手术。这项包含多项条款的法案确实新增了一项禁令，禁止使用州医疗补助资金支付成年人的性别认同治疗费用，但图雷克当时解释说，他反对该法案是基于与性别政策无关的条款——他认为，该法案为支持老年人、残疾人和低收入爱荷华州居民的项目提供的资金不足。图雷克的竞选团队表示，他反对未成年人变性手术。

南卡罗来纳州的一则共和党广告并未提供任何证据，声称民主党候选人安妮·安德鲁斯“毫不避讳”支持性别认同治疗，包括“为未成年人进行手术”。安德鲁斯多年来一直表示反对为未成年人进行手术，但她支持为他们提供其他性别认同治疗。该广告展示了一张看似报纸评论文章标题的图片，标题为“安妮·安德鲁斯：让孩子们变性”，但实际上这是一张合成图片，所谓的文章内容是一些乱码。

有限的现有数据表明，只有极少数跨性别者在未成年时接受手术，而且未成年人接受的性别手术绝大多数是 15 至 17 岁之间的胸部手术。

此前，包括PolitiFact、Popular Information和《奥斯汀美国政治家报》在内的多家媒体都曾对本文讨论的广告的准确性进行过报道。以下是关于每则广告的更多事实。

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至少有三则攻击布朗在性别问题上立场不公的虚假广告由参议院领导基金播出，该组织与共和党参议院领导层关系密切。其中两则广告由索伦·阿尔达科（Soren Aldaco）配音，她曾表示自己在2021年接受了双侧乳房切除术，作为变性为男性的一部分。阿尔达科后来后悔了变性手术，她称手术“失败”，并公开表示自己“正在逆转变性”。

在其中一则广告中，阿尔达科开头说道：“谢罗德·布朗支持未成年人变性手术——对孩子进行不可逆转的手术。就像我一样。”她接着说：“11岁时，我被陌生人在网上诱骗。15岁时，一位医生告诉我的家人我是跨性别者。我接受了激素注射，然后做了手术——这一切都没有征得我父母的同意。我当时还是个孩子。”在另一则广告中，阿尔达科再次提到了激素注射和手术，说她经历了“多年的创伤”，然后说道：“我并非生错了性别。我当时还是个孩子。但谢罗德·布朗却支持未成年人变性手术，并承认他永远不会反对。”

据阿尔达科本人所述，她在接受手术时已是法定成年人。正如克利夫兰第五频道新闻上周指出的那样，她已明确表示自己在19岁时接受了手术——19岁接受医疗无需父母同意——并且手术是在德克萨斯州的一家诊所进行的。布朗曾于2007年至2025年代表俄亥俄州担任参议员，此前也曾代表俄亥俄州的一个选区担任众议员。

参议院领导基金发言人克里斯·古斯塔夫森在被问及此事时指出，阿尔达科曾表示，她在17岁时，也就是未成年时期，由继母而非拥有法定监护权的生母陪同就诊，并被开了激素处方。阿尔达科也以类似的理由为自己的说法辩护，强调她在开始认同自己为跨性别者并接受性别认同治疗时还是未成年人。

“我11岁时，刚打扮得漂漂亮亮的，开始认同自己是跨性别者；15岁时，医生介入；17岁时，他们在未经我同意的情况下给我开了激素；19岁时，我还是个十几岁的大学生，就接受了双侧乳房切除术——而我永远也无法找回最近报道中遗漏的那七年童年时光了，”她在电子邮件中写道。

但阿尔达科在广告中并未提及她接受手术时是19岁或“大学生”。相反，她在每则广告中提到手术后不久，都会说自己“还是个孩子”。再加上广告的重点是“未成年人变性手术”，阿尔达科在广告中的言论明显给人一种错误的印象，即她的手术（而不仅仅是她之前的治疗）是在她未成年时进行的。

本周，布朗发布了一则回应广告，广告中，旁白伴随着阿尔达科的照片出现在屏幕上，说道：“看过这些广告吗？它们完全是谎言。记录显示，这名女子不仅来自德克萨斯州，而且她未成年时也没有做过任何手术。”

参议院领导基金就同一主题投放了另一则广告。广告开头写道：“被极端主义议程滥用和利用。强迫儿童接受变性手术。但谢罗德·布朗却与这些极端分子站在一起。” 这则广告没有引用任何消息来源，而且正如事实核查网站PolitiFact上周指出的那样，没有任何证据表明布朗支持“强迫”儿童或任何人接受手术。

两则以阿尔达科为主角的广告都引用了2023年哥伦布市电视台的同一段新闻报道，声称布朗支持儿童变性手术。我们未能找到完整视频，但参议院领导基金此前引用的布朗的这番话是：“孩子的医疗保健决定应该由他们自己、他们的父母、他们的家人、他们的医生来做，而不是由政客来做。我永远不会同意任何人将政治带入家庭医疗保健领域，就这么简单。”

布朗是在回应WSYX ABC 6电视台记者达雷尔·罗兰的提问时发表了上述言论。本周，现已退休的罗兰应要求提供了此次对话的文字记录。他当时询问布朗与时任俄亥俄州参议员JD·万斯的关系，并指出万斯刚刚提出一项法案，“旨在打击他所谓的生殖器切割，并将性别肯定治疗（针对未成年人）定为非法行为”。布朗的回答可以有多种解读，但并未明确提及手术，而且他所回答的问题也更广泛地涉及了“性别肯定治疗”。

布朗在9月份发布了一则回应广告，指出俄亥俄州自2024年起就禁止为未成年人进行变性手术，并驳斥共和党的攻击，称其意在转移人们对高昂价格等重要问题的注意力。该广告并未明确布朗对变性手术的总体立场。

“在俄亥俄州，这已经是既定的法律。谢罗德致力于挑战不公正的制度，改善俄亥俄州人民的生活，”竞选发言人劳伦·周本周在一封电子邮件中表示，并继续批评了布朗的共和党对手、参议员乔恩·赫斯特。

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特朗普的富豪盟友埃隆·马斯克的“美国政治行动委员会”（America PAC）投放了大量中期选举广告，抨击民主党在性别议题上的立场。其中一则广告声称，塔拉里科曾投票支持“用纳税人的钱为儿童进行变性手术”。与参议院领导基金有关联的“德克萨斯政治行动委员会”（Texas PAC）也投放了一则类似的广告，称“塔拉里科支持用纳税人的钱为幼童进行变性手术”。

两则广告都明确指出，他们的论断基于塔拉里科在2023年投票反对一项德克萨斯州法案的事实。该法案不仅禁止未成年人接受变性手术，还禁止其他形式的性别认同治疗，例如激素疗法和青春期阻滞剂；塔拉里科的竞选对手、州检察长肯·帕克斯顿（同时也是该州首席律师）声称，该禁令还涵盖了帮助未成年人进行性别转换的心理健康治疗。但两则广告都没有提及，塔拉里科曾投票支持一些最终未获通过的修正案，这些修正案旨在将该法案的适用范围限制在手术禁令上。

当被问及此事时，塔拉里科的竞选团队表示，他反对为未成年人进行变性手术。该团队还提到，塔拉里科曾在9月份接受福克斯新闻采访时解释过他2023年的投票意向。

塔拉里科称2023年的法案“过于宽泛”，并正确地指出：“如果你回顾一下，就会发现我曾投票支持一项重要修正案，将法案的范围限​​制在禁止为未成年人进行手术。” 他补充道：“作为一名立法者，我的职责是仔细审查法案的每一项内容。有时，法案中确实存在一些有害条款，我别无选择，只能反对整个法案。正因如此，我才努力通过修正案来缩小法案的范围，使其能够精准地实现我们的预期目标。”

参议院领导基金会的古斯塔夫森在被问及此事时重申，塔拉里科投票反对2023年的法案。他的邮件承认该法案也禁止对未成年人使用激素疗法和青春期阻滞剂，但并未提及塔拉里科曾支持将该法案的禁令范围缩小至手术禁令。马斯克团队的发言人未回复置评请求。

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马斯克团队在爱荷华州发布的一则不实广告声称，现任州众议员图雷克（Turek）正在竞选参议员，挑战现任众议员阿什利·欣森（Ashley Hinson），“投票支持将我们的税款用于儿童变性手术”。该广告引用了图雷克在州众议院就一项涉及2025年的广泛议题进行的投票。

这项措施涵盖多项内容，包括为医疗保健和退伍军人服务提供资金。它还禁止使用州医疗补助资金报销任何年龄段人群的各种性别认同治疗费用。具体而言，该措施规定，资金“不得用于报销变性手术或相关手术，包括激素疗法或其他旨在改变与个人性别焦虑症诊断相关的第一或第二性征的医疗干预措施”。

即使图雷克因为反对这项具体条款而投票反对这项广泛的法案，也不意味着他像广告中声称的那样，赞成用税款为“儿童”进行变性手术。因为爱荷华州早在2023年就已禁止对未成年人进行变性手术、激素疗法和青春期阻滞剂治疗（图雷克当时缺席了相关投票）。

根据图雷克在2025年就该法案投票前发表的讲话，他的投票甚至并非针对性别相关条款。相反，他谈到，他认为该法案在解决残疾人居家和社区服务“从根本上来说是不公平和不公正的”长期等候名单、护理人员严重短缺（这“严重影响了我们州最弱势的群体——残疾人和老年人”）以及食品援助计划资金减少等问题上存在不足，此外还有其他一些与性别政策无关的问题。

图雷克的竞选团队今年早些时候告诉事实核查网站PolitiFact，他反对为儿童进行变性手术。本周，一位竞选发言人在一封电子邮件中表示：“乔什反对用纳税人的钱资助变性手术，任何持相反观点的人都是在撒谎。” 马斯克团队的发言人没有回复置评请求。

乔·雷德尔/盖蒂图片社

安德鲁斯是一名儿科医生，她在2022年竞选众议员席位失败时曾表示，她“从未”支持过对未成年人进行性别重置手术，而且她工作了十多年的医院也不进行这类手术。她在2024年于社交媒体上写道：“你很难找到一个比我更公开表明立场的南卡罗来纳州人。不，我不支持对未成年人进行性别确认手术。因为没有证据支持这种做法。”

但今年，支持她的共和党参议院对手达琳·格雷厄姆参议员的“安全即力量”政治行动委员会发布的一则广告中，旁白声称“安妮·安德鲁斯毫不掩饰她对青春期阻滞剂、激素和手术等医疗干预措施的支持——针对未成年人”。

安德鲁斯曾公开支持对未成年人进行“性别肯定治疗”，包括使用青春期阻滞剂和激素，理由是“这已被证明可以降低跨性别青少年自杀和自杀意念的发生率和频率”。她去年表示，此类治疗适用于“一部分”性别认同与自身性别不同的儿童，并且是在“与儿科医生、内分泌学家和心理健康专家进行多次多次会诊后”才实施的。

但该广告完全没有提供任何依据来支持她支持未成年人接受变性手术的说法，而她本人曾多次反对这种做法。相反，该广告展示了一份伪造的报纸，上面赫然印着一个虚构的标题“安妮·安德鲁斯：让孩子变性”，文章内容仔细一看显然是胡言乱语。

就此事征询“安全即力量”组织的意见时，该组织指出安德鲁斯曾公开反对两项州立法。一项是2021年一项州提案，旨在禁止变性手术、激素疗法和青春期阻滞剂。另一项是2024年一项州法律，该法律不仅禁止未成年人接受上述所有治疗，还要求公立学校在儿童要求使用不同代词或告知教职员工其性别认同与生理性别不符时，立即通知家长。

这些都不能证明广告中关于安德鲁斯支持未成年人变性手术的说法。反对全面取消未成年人性别认同治疗的立法并不意味着某人支持变性手术本身。

安德鲁斯本周发布了一则回应广告，她在广告中称格雷厄姆在“撒谎”，并表示“我不支持也从未对未成年人进行过变性手术”。

CNN的戴维·赖特对本文亦有贡献。