A major California transgender clinic for minors shut down this week — not because the DOJ forced it, but because the providers themselves are reading the trajectory and getting out while they can.
Prosilio Care, a Pasadena facility that offered cross-sex hormones and mental health services to adolescents, closed its doors Wednesday. The clinic’s website went dark mid-afternoon, wiping detailed service listings and staff profiles from public view.
The facility was staffed by Johanna Olson-Kennedy, one of the most prominent and controversial doctors performing transgender procedures on minors in the country. Olson-Kennedy previously ran the now-shuttered Transyouth Clinic at Los Angeles Children’s Hospital before moving into private practice.
Prosilio operated under the umbrella of San Francisco’s Gender Confirmation Center. A spokesman for GCC confirmed the shutdown, telling The Federalist that the decision to close Prosilio was made in November 2025 — months before the DOJ’s recent enforcement push — and became final Wednesday.
“The decision was made in November 2025 to shut down Prosilio entirely, effective October 1, 2026, or sooner. That process has been underway and is unrelated to this week’s actions by the DOJ.”
But the closure doesn’t happen in a vacuum. The legal environment for doctors performing these procedures on children has become increasingly hostile — and not just from federal enforcement.
Last week, the Department of Justice announced settlements with New York University Langone Hospitals and the University of Pittsburgh Medical Center to end what it calls sex-rejecting procedures on children. Those were the fifth and sixth hospitals the DOJ forced to shut down pediatric transgender programs, including a partnership with Texas Attorney General Ken Paxton.
When asked this week whether the DOJ would pursue independent clinics not affiliated with hospitals, a spokesman pointed to President Trump’s January 2025 executive order titled “Protecting Children From Chemical and Surgical Mutilation.” That order makes no distinction based on where the procedures occur — hospital or private clinic.
“It is the policy of the United States that it will not fund, sponsor, promote, assist, or support the so-called ‘transition’ of a child from one sex to another, and it will rigorously enforce all laws that prohibit or limit these destructive and life-altering procedures.”
The pressure isn’t just federal. Insurance companies have become far more reluctant to provide malpractice coverage for doctors performing these procedures on minors, and premiums have soared for those who still can get it. Detransitioner lawsuits are mounting. Professional associations like the American Society of Plastic Surgeons have begun warning doctors against participating in pediatric transgender procedures, framing the issue as a matter of medical ethics.
California tried to save the industry earlier this year. Olson-Kennedy joined other providers to lobby the state legislature for funding, and Gov. Gavin Newsom signed a budget that included $26 million in state money to cover cross-sex hormones and surgeries for minors.
It wasn’t enough. A Federalist reporter visited the Prosilio Care office in Pasadena on Wednesday afternoon and found a locked door to an apparently empty suite.
The pediatric transgender clinic — even in private forms designed to evade federal pressure — is becoming a thing of the past. The doctors who built the industry are walking away.
