This legislation requires the President to impose visa sanctions on foreign persons determined to have performed, prescribed, or facilitated what it terms "chemical or surgical mutilations" of United States minors. Specifically, it targets members of the World Professional Association for Transgender Health, licensed physicians, or owners/operators of medical institutions engaged in such activities. The sanctions include making these individuals inadmissible to the United States , ineligible for visas, and subject to immediate revocation of any existing entry documentation. The bill defines "chemical or surgical mutilation" as procedures intended to halt natural bodily development or change an individual's body to no longer correspond to their sex, encompassing puberty blockers, sex hormones, and certain surgical procedures . However, it explicitly excludes medically necessary procedures for verifiable disorders of sexual development, treatment of complications, or detransition treatment. The legislation also establishes procedures for individuals to submit information about potential violators and includes exceptions for international obligations and whistleblowers, alongside a presidential waiver for national security interests. The Secretary of State is mandated to report to Congress on the implementation of these provisions and recommend further actions.