‘‘(E) An individual diagnosed with pre-
cocious puberty, to the extent such genital or 
bodily mutilation or chemical castration is for 
the purpose of normalizing puberty. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) GENITAL OR BODILY MUTILATION.—The 
term ‘genital or bodily mutilation’ means, with re-
spect to an individual, any of the following: 
‘‘(A) Female genital mutilation. 
‘‘(B) Any surgery performed for the pur-
pose of changing the body of such individual to 
correspond to a sex that differs from their bio-
logical sex, including— 
‘‘(i) castration; 
‘‘(ii) orchiectomy; 
‘‘(iii) scrotoplasty; 
‘‘(iv) vasectomy; 
‘‘(v) hysterectomy; 
‘‘(vi) oophorectomy; 
‘‘(vii) ovariectomy; 
‘‘(viii) metoidioplasty; 
‘‘(ix) penectomy; 
‘‘(x) phalloplasty; 
‘‘(xi) vaginoplasty; 
‘‘(xii) vaginectomy;
‘‘(xiii) vulvoplasty; 
‘‘(xiv) reduction thyrochondroplasty; 
‘‘(xv) chondrolaryngoplasty; and 
‘‘(xvi) mastectomy. 
‘‘(C) Any plastic surgery that feminizes or 
masculinizes the facial or other physiological 
features for the purposes described in subpara-
graph (B). 
‘‘(D) Any placement of chest implants to 
create feminine breasts for the purposes de-
scribed in subparagraph (B). 
‘‘(E) Any placement of fat or artificial im-
plants in the gluteal region for the purposes de-
scribed in subparagraph (B). 
‘‘(F) Any surgery to reconstruct the fixed 
part of the urethra, whether or not such sur-
gery includes a metoidioplasty or a phalloplasty, 
for the purposes described in subparagraph (B). 
‘‘(2) CHEMICAL
CASTRATION.— The term 
‘chemical castration’ means administering, sup-
plying, prescribing, dispensing, distributing, or oth-
erwise conveying to an individual medications for the 
purposes described in paragraph (1)(B), including—
‘‘(A) 
gonadotropin-releasing 
hormone 
(GnRH) analogues or other puberty-blocking 
drugs to stop or delay normal puberty; 
‘‘(B) testosterone or other androgens to bi-
ological 
females 
at 
doses 
that 
are 
supraphysiologic to the female sex; and 
‘‘(C) estrogen to biological males at doses 
that are supraphysiologic to the male sex. 
‘‘(3) BIOLOGICAL
SEX.—The term ‘biological 
sex’ means, with respect to a person, the classifica-
tion of the person as male or female at birth. 
‘‘(4) FEMALE
GENITAL
MUTILATION.—The 
term ‘female genital mutilation’ means any proce-
dure performed for non-medical reasons that in-
volves partial or total removal of, or other injury to, 
the external female genitalia, and includes— 
‘‘(A) a clitoridectomy or the partial or total 
removal of the clitoris or the prepuce or clitoral 
hood; 
‘‘(B) excision or the partial or total re-
moval (with or without excision of the clitoris) 
of the labia minora or the labia majora, or 
both;
‘‘(C) infibulation or the narrowing of the 
vaginal opening (with or without excision of the 
clitoris); or 
‘‘(D) other procedures that are harmful to 
the external female genitalia, including prick-
ing, incising, scraping, or cauterizing the gen-
ital area. 
‘‘(5) MINOR.—The term ‘minor’ means any per-
son under the age of eighteen years. 
‘‘(6) MALE.—The term ‘male’ means a person 
who naturally has, had, will have, or would have, but 
for a congenital anomaly, historical accident, or in-
tentional or unintentional disruption, the reproduc-
tive system that at some point produces, transports, 
and utilizes sperm for fertilization. 
‘‘(7) FEMALE.—The term ‘female’ means a per-
son who naturally has, had, will have, or would have, 
but for a congenital anomaly, historical accident, or 
intentional or unintentional disruption, the reproduc-
tive system that at some point produces, transports, 
and utilizes eggs for fertilization.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
for chapter 7 of title 18, United States Code, is amended 
by striking the item related to section 116 and inserting 
the following:
‘‘116. Genital and bodily mutilation of a minor; chemical castration of a 
minor.’’. 
Passed the House of Representatives December 17, 
2025. 
Attest: 
Clerk.
119TH CONGRESS 
1ST SESSION 
H. R. 3492 
AN ACT 
To amend section 116 of title 18, United States 
Code, with respect to genital and bodily mutila-
tion and chemical castration of minors.