This order has considerable implications for transgender and gender diverse individuals (TGD). Restriction of legal documentation to sex-assigned at birth will limit the ability for TGD to safely travel oversees, which may impact access to travel for work, family, or health treatments. Justice-involved TGD individuals, and especially trans women, will face increased violence and harassment while in detention. There are documented health consequences of restricting access to gender-affirming care, including medical de-transition, hormone imbalance, and poor mental health. It will also limit TGD individuals’ ability to access safe, gender appropriate housing.