Report highlights

Exposing Planned Parenthood

American Principles Project · 2025

At least 40,000 patients per year receive sex-change procedures at Planned Parenthood, according to The Free Press, and we estimate at least 100,000 visits are made to Planned Parenthood clinics annually for sex-change purposes.

Key numbers

  1. No consent

    Some affiliates offer other “gender-affirming” interventions for minors without parental consent.

    Some affiliates offer other “gender-affirming” interventions for minors without parental consent.

    See it in the reportOriginal PDF, p. 3

  2. 40,000+

    patients a year receive sex-change procedures at Planned Parenthood, according to The Free Press.

    At least 40,000 patients per year receive sex-change procedures at Planned Parenthood, according to The Free Press, and we estimate at least 100,000 visits are made to Planned Parenthood clinics annually for sex-change purposes.

    See it in the reportOriginal PDF, p. 3

  3. 100,000+

    visits a year are made to Planned Parenthood clinics for sex-change purposes, by APP’s estimate.

    At least 40,000 patients per year receive sex-change procedures at Planned Parenthood, according to The Free Press, and we estimate at least 100,000 visits are made to Planned Parenthood clinics annually for sex-change purposes.

    See it in the reportOriginal PDF, p. 3

  4. 1 in 6

    teens and young adults who receive cross-sex hormones get them through Planned Parenthood.

    Data suggests that 1 in 6 teens and young adults who receive cross-sex hormones do so via Planned Parenthood.

    See it in the reportOriginal PDF, p. 3

  5. First visit

    Patients can receive cross-sex hormones on their first visit, often without seeing a doctor.

    Patients can receive hormones on their first visit, often without seeing a doctor, sometimes via telehealth or even over the phone.

    See it in the reportOriginal PDF, p. 3

  6. $792M+

    in taxpayer dollars received by Planned Parenthood, per its 2023–2024 report.

    In their 2023-2024 report, Planned Parenthood reported receiving more than $792 million in taxpayer dollars, up from the year prior.

    See it in the reportOriginal PDF, p. 4

  7. 80% vs 70%

    of Planned Parenthood clinics offer “gender affirming care,” vs. about 70% advertised as offering abortions (April 2025, APP estimate).

    As of April 2025, by our estimates, around 80 percent of Planned Parenthood clinics offer some form of “Gender Affirming Care,” while around 70 percent are advertised as offering abortions.

    See it in the reportOriginal PDF, p. 6

  8. 450%+

    growth in Planned Parenthood health centers offering “transgender and nonbinary hormone care,” 2016–2021.

    According to an internal slide presentation reported on by The Free Press, between 2016 and 2021 the number of health centers offering “transgender and nonbinary hormone care” increased by more than 450 percent.

    See it in the reportOriginal PDF, p. 7

  9. 12,000

    children ages 12–17 in Planned Parenthood “gender-related insurance” claims, 2017–2023.

    Between 2017 and 2023, affiliated clinics filed gender-related insurance claims for 12,000 youths aged 12–17.”

    See it in the reportOriginal PDF, p. 7

  10. 1,086 + 918

    in-person and telehealth “gender affirming” visits in 2023 at Planned Parenthood of Tennessee and North Mississippi, across 167 zip codes.

    In 2023, Planned Parenthood of Tennessee and North Mississippi reported that their “gender affirming healthcare” program – 1,086 in-person visits and 918 telehealth – served 167 zip codes “across Tennessee and 5 neighboring states.”

    See it in the reportOriginal PDF, p. 17

  11. 80%

    of all sex education grant money went to Planned Parenthood and its allies, 2020–2023 (Claremont Institute).

    According to a report from The Claremont Institute, “Planned Parenthood and its allies won 80 percent of all sex education grant money between 2020 and 2023.

    See it in the reportOriginal PDF, p. 19

  12. 402,230

    abortions reported in Planned Parenthood’s 2023–2024 report.

    Judging by our estimates and Planned Parenthood Federation of America’s 2023-2024 report, it would appear that abortions (402,230) and sex-change visits (100,000+) are a larger part of Planned Parenthood’s business than all the following categories in the 2023 report combined :

    See it in the reportOriginal PDF, p. 26

  13. −74%

    breast exams at Planned Parenthood since 2010; pap tests −77%, contraceptive services −40%.

    Since 2010, breast exams at Planned Parenthood are down 74 percent, pap tests are down 77 percent, and contraceptive services are down nearly 40 percent.

    See it in the reportOriginal PDF, p. 29

  14. −64%

    emergency contraception kits at Planned Parenthood since 2009.

    Looking further, emergency contraception kits are down 64 percent since 2009, and pregnancy testing is down nearly 20 percent from its recent peak in the 2014-2015 report.

    See it in the reportOriginal PDF, p. 29

  15. $2B+

    in total revenue, a little less than $1,000 per patient (2023–2024 report).

    Planned Parenthood reported receiving more than $790 million in taxpayer dollars in their 2023-2024 report, and more than $2 billion in total revenue (or a little less than $1,000 per patient).

    See it in the reportOriginal PDF, p. 31

In their words

I would suggest that 30 minutes is not enough.
Dr. Vanessa Cullins, Planned Parenthood’s former VP of medical affairs, on the typical time to a hormone prescription

See it in the reportOriginal PDF, p. 5

So, men can have pregnancies, especially trans men.
Dr. Bhavik Kumar, medical director for primary and trans care, Planned Parenthood Gulf Coast, testifying before Congress

See it in the reportOriginal PDF, p. 5

Many people know their gender identity as young as age 2.
Planned Parenthood Federation of America, “How Do I Know If I’m Transgender?”

See it in the reportOriginal PDF, p. 5

Gatekeeping is not necessary.
Dr. Nicole Chaisson, associate medical director of Planned Parenthood North Central States, on why it does not require mental health screenings

See it in the reportOriginal PDF, p. 11

I have always been a very strong supporter of Planned Parenthood and am prochoice. [...] But they have taken on something that they are not equipped to handle.
Dr. Laura Edwards-Leeper, co-founder of the first pediatric gender clinic in the United States, on Planned Parenthood’s gender transition practices

See it in the reportOriginal PDF, p. 13

I’ve had patients desperate to get hormones where I’ve been the voice of caution.
Erica Anderson, former president of the US Professional Association for Transgender Health

See it in the reportOriginal PDF, p. 13

trans identifying kids are cash cows, and they are kept on the hook for the foreseeable future
A Planned Parenthood whistleblower, as reported in the report’s section on politics over health care

See it in the reportOriginal PDF, p. 26

Read the full reportThe original from American Principles Project