gender-affirming surgery in the state, ahead of a U.S. Supreme Court hearing on a similar case.In a 74-page ruling, Wright County Circuit Court Judge Craig Carter backed the state's block on transgender health care, including puberty blockers and hormone treatment, which was enacted in 2023.He argued that he did not have the power to overturn the ban because the plaintiffs had tried to prove that no set of circumstances existed that allowed it under the Constitution, something which he said was not possible because of disputes over the safety and ethics of gender-affirming care."This court finds an almost total lack of consensus as to the medical ethics of adolescent gender dysphoria treatment," he wrote, adding that states had an "abiding interest in protecting the integrity and ethics of the medical profession".Judge Carter's ruling was celebrated by Missouri Attorney General Andrew Bailey, who branded the type of care in question as "child mutilation"."We are the first state in the nation to successfully defend such a law at the trial court level," Attorney General Bailey said in a press release."I'm extremely proud of the thousands of hours my office put in to shine a light on the lack of evidence supporting these irreversible procedures.