Rep. Sara JacobsRep. Sara Jacobs speaks on the House floor this week. Screenshot from video

Rep. Sara Jacobs from San Diego and her colleague Rep. Nancy Mace from South Carolina traded sharp words on the House floor Wednesday over gender-affirming surgery.

The House was debating amendments to the annual defense authorization bill, with Mace, a Republican, seeking to ban gender-affirming care under the military’s TRICARE health benefits.

When Jacobs, a Democrat, argued that filler surgery, breast augmentation and Botox injections are types of gender-affirming care, Mace shouted, “You are absolutely ridiculous. What the hell is your problem?

The two then issued separate statements on X, with Mace offering to recommend a plastic surgeon for a “nose job.”

Jacobs is Jewish and the reference to a nose job is a common antisemitic trope.

Mace has authored a bill to ban transgender people, and specifically Rep. Sarah McBride of Delaware, from using bathrooms other than those of their sex assigned at birth.

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