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 practitioners whose philosophy some object to.  Proposed regulation unnecessarily limits Virginians' rights to speech and exercise of religion and denies individuals the choice to pursue desired counsel and treatment.  Virginians deserve from their elected officials and those appointed and given regulatory authority to value choice for its citizens and respect diverse professional medical and psychological approaches to gender questions.  Daily insight into this arena of gender identity is encountered and responses to new questions poised, insight and research provided by both medical and mental health professionals into this rapidly changing area.  Regulators need to protect the rigorous professional clinical processes, allow professionally peer reviewed work to circulate and protect this process from the undue influence of those who simply see this as a problem with a one-size fits all solution.