On March 8, 2026, a federal granted a preliminary injunction in Gordon v. Aetna, a class action civil rights lawsuit challenging Aetna’s categorical coverage exclusion on gender-affirming facial reconstruction surgeries for transgender women. The court also denied Aetna’s motion to dismiss the lawsuit.

On September 10, 2024, Wardenski P.C., Advocates for Trans Equality, and Cohen Milstein Sellers & Toll, filed a class action civil rights lawsuit against Aetna challenging the health insurer's discriminatory exclusion on facial gender-affirming surgeries for transgender policyholders.