The bill establishes a new section in Wyoming law that prohibits physicians from performing gender reassignment procedures on children under the age of eighteen. Specifically, it forbids surgeries that would transition a child's biological sex, including sterilization procedures and mastectomies. The bill defines "child" as anyone younger than eighteen and outlines the role of physicians as those licensed to practice medicine in the state. However, it provides exceptions for procedures performed with parental consent for children with medically verifiable genetic disorders of sex development or central precocious puberty.

Additionally, the bill authorizes the state board of medicine to create rules necessary for its implementation and specifies that it will apply only to conduct or procedures occurring after its effective date. The act is set to take effect on July 1, 2024, with certain sections becoming effective immediately upon the completion of legislative processes.