Missouri’s restrictions on puberty blockers and hormone treatment for transgender minors are constitutional and may remain in place, Wright County Circuit Court Judge Craig Carter wrote in a 74-page ruling Monday.

The evidence from trial showed that the medical ethics of gender dysphoria treatment for children and adolescents are entirely unsettled,’ the judge wrote.

The ACLU of Missouri and Lambda Legal said they will appeal a judge's ruling that restrictions on gender-affirming care for minors are constitutional.

A Missouri judge upheld the state’s ban on gender-affirming care for minors Monday, a victory for opponents of the practice in a continuing nationwide battle over transgender issues.

Lambda Legal and the ACLU of Missouri, representing the families and organizations suing to challenge the ban, plan to appeal.