Dozens of transgender people, along with their families and allies, gathered outside the Supreme Court on Wednesday as the justices considered a Tennessee law banning access to puberty blockers and hormone therapy for trans minors.

Hearing a high-profile culture-war clash, the Supreme Court on Wednesday seemed likely to uphold Tennessee’s ban on gender-affirming care for minors.

The wide-ranging argument at the Supreme Court touched on the approaches of other nations, the relevance of a previous ruling protecting transgender workers from workplace discrimination and the rights of parents.