In Denmark, secure care institutions are gender-integrated and accommodate young people with a wide range of psychiatric and social troubles. The large majority of young people are placed here in surrogate custody, and a minority, mostly girls, are placed here in protective care. Based on a qualitative study of gendered practices and experiences in Danish secure care institutions, this article provides insight into how gender and pathology merge to produce vulnerabilities in care. The study finds that while girls are viewed (...) through a lens of pathology, secure care practices largely fail to provide treatment for girls. Drawing on feminist scholarship on penal–welfare responses to women, I argue that institutional practices contribute to the production of disordered selves and the marginalization of girls in secure care. This demonstrates how welfare provision for the most marginalized girls reproduces and reinforces the inequalities that brought them into secure care. The study hereby supplements an emerging scholarship on how gender underpins penal–welfare responses and interventions. (shrink)