Virginia elected and appointed officials should uphold the parental right and duty to make healthcare decisions for their children.  Unelected regulators should not have authority to limit the field of licensed practitioners based on objection to professional judgment.  Proposed regulation unnecessarily limits Virginians' right to speech and exercise of religion and denies individuals the choice to pursue desired counsel and treatment.  Virginia deserves from its elected officials and those appointed in authority to value choice for its citizens and respect diverse professional medical and psychological approaches to gender questions.  Daily we encounter insight into this arena of gender identity and responses to new questions posed, insight provided by both medical and mental health professionals and those with ideological agendas.  This regulation is driven by ideology and should not be passed.  It will not improve the lives of Virginians.