South Dakota Codified Laws 34-24-34. Prohibited medical interventions–Intent–Actions
Except as provided in § 34-24-35, a healthcare professional may not, for the purpose of attempting to alter the appearance of, or to validate a minor’s perception of, the minor’s sex, if that appearance or perception is inconsistent with the minor’s sex, knowingly:
(1) Prescribe or administer any drug to delay or stop normal puberty;
(2) Prescribe or administer testosterone, estrogen, or progesterone, in amounts greater than would normally be produced endogenously in a healthy individual of the same age and sex;
(3) Perform any sterilizing surgery, including castration, hysterectomy, oophorectomy, orchiectomy, penectomy, and vasectomy;
(4) Perform any surgery that artificially constructs tissue having the appearance of genitalia differing from the minor’s sex, including metoidioplasty, phalloplasty, and vaginoplasty; or
(5) Remove any healthy or non-diseased body part or tissue.
Source: SL 2023, ch 127, § 2.