Vanderbilt University Medical Center’s transgender clinic in Nashville has paused gender affirming surgeries for patients under the age of 18, a top executive at the center told a Tennessee lawmaker Friday. Republican Tennessee state Rep. Jason Zachary – who had asked VUMC to permanently end gender affirming surgeries for minors – posted a letter to Twitter he received from VUMC’s Chief Health System Officer, Dr. C. Wright Pinson. In the letter, Pinson informs the lawmaker that the nonprofit hospital is “pausing” gender affirmation surgeries on patients under age 18 while it reviews “new recommendations.”