
Delegates at the Presbyterian Church USA’s general assembly have cast an overwhelming vote in favor of a statement endorsing sex-change operations for children, while also condemning states that have enacted bans on those procedures.
The PCUSA holds the distinction of being the largest Presbyterian denomination in the United States. However, the church has experienced a prolonged decline in both membership and the number of congregations it represents. That trend has coincided with the denomination’s leadership adopting a series of LGBT-affirming positions over the years, including allowing the ordination of homosexual clergy and performing same-sex marriages.








