The legal status of transgender people varies greatly around the world. Some countries have enacted laws protecting the rights of
transgender
A transgender (often shortened to trans) person has a gender identity different from that typically associated with the sex they were sex assignment, assigned at birth.
The opposite of ''transgender'' is ''cisgender'', which describes perso ...
individuals, but others have criminalized their
gender identity
Gender identity is the personal sense of one's own gender. Gender identity can correlate with a person's assigned sex or can differ from it. In most individuals, the various biological determinants of sex are congruent and consistent with the in ...
or
expression. In many cases, transgender individuals face
discrimination
Discrimination is the process of making unfair or prejudicial distinctions between people based on the groups, classes, or other categories to which they belong or are perceived to belong, such as race, gender, age, class, religion, or sex ...
in employment, housing, healthcare, and other areas of life.
A
transgender
A transgender (often shortened to trans) person has a gender identity different from that typically associated with the sex they were sex assignment, assigned at birth.
The opposite of ''transgender'' is ''cisgender'', which describes perso ...
person is someone whose
gender identity
Gender identity is the personal sense of one's own gender. Gender identity can correlate with a person's assigned sex or can differ from it. In most individuals, the various biological determinants of sex are congruent and consistent with the in ...
is inconsistent or not culturally associated with the sex they were
assigned at birth and also with the
gender role
A gender role, or sex role, is a social norm deemed appropriate or desirable for individuals based on their gender or sex.
Gender roles are usually centered on conceptions of masculinity and femininity. The specifics regarding these gendered ...
that is associated with that sex. They may have, or may intend to establish, a new gender status that accords with their gender identity. ''
Transsexual
A transsexual person is someone who experiences a gender identity that is inconsistent with their assigned sex, and desires to permanently transition to the sex or gender with which they identify, usually seeking medical assistance (incl ...
'' is generally considered a subset of ''transgender'',
['']Transgender Rights
The legal status of transgender people varies greatly around the world. Some countries have enacted laws protecting the rights of transgender individuals, but others have criminalized their gender identity or expression. In many cases, transg ...
'' (2006, ), edited by Paisley Currah, Richard M. Juang, Shannon Minter[Thomas E. Bevan, ''The Psychobiology of Transsexualism and Transgenderism'' (2014, ), page 42: "The term transsexual was introduced by Cauldwell (1949) and popularized by Harry Benjamin (1966) .. The term transgender was coined by John Oliven (1965) and popularized by various transgender people who pioneered the concept and practice of transgenderism. It is sometimes said that Virginia Prince (1976) popularized the term, but history shows that many transgender people adovcated the use of this term much more than Prince. The adjective ''transgendered'' should not be used .. Transsexuals constitute a subset of transgender people."][A. C. Alegria, ''Transgender identity and health care: Implications for psychosocial and physical evaluation'', in the ''Journal of the American Academy of Nurse Practitioners'', volume 23, issue 4 (2011), pages 175–182: "Transgender, Umbrella term for persons who do not conform to gender norms in their identity and/or behavior (Meyerowitz, 2002). Transsexual, Subset of transgenderism; persons who feel discordance between natal sex and identity (Meyerowitz, 2002)."] but some transsexual people reject being labelled ''transgender''.
[Valentine, David. ''Imagining Transgender: An Ethnography of a Category'', Duke University, 2007][ Stryker, Susan. Introduction. In Stryker and S. Whittle (Eds.), ''The Transgender Studies Reader'', New York: Routledge, 2006. 1–17]
Globally, most legal jurisdictions recognize the two traditional gender identities and social roles,
man
A man is an adult male human. Before adulthood, a male child or adolescent is referred to as a boy.
Like most other male mammals, a man's genome usually inherits an X chromosome from the mother and a Y chromosome from the f ...
and
woman
A woman is an adult female human. Before adulthood, a female child or Adolescence, adolescent is referred to as a girl.
Typically, women are of the female sex and inherit a pair of X chromosomes, one from each parent, and women with functi ...
, but tend to exclude any other gender identities and expressions. People assigned male at birth are usually legally recognized as men, and people assigned female at birth are usually legally recognized as women, in jurisdictions that distinguish between the two. However, there are some countries which recognize, by law, a
third gender
Third gender or third sex is an identity recognizing individuals categorized, either by themselves or by society, as neither a man nor a woman. Many gender systems around the world include three or more genders, deriving the concept either from ...
. That third gender is often associated with being
nonbinary. There is now a greater understanding of the breadth of variation outside the typical categories of "man" and "woman", and many self-descriptions are now entering the literature, including ''
pangender'', ''
genderqueer
Non-binary or genderqueer gender identities are those that are outside the male/female gender binary. Non-binary identities often fall under the transgender umbrella since non-binary people typically identify with a gender that is differ ...
'', ''polygender'', and ''agender''. Medically and socially, the term "transsexualism" is being replaced with ''
gender incongruence'' or ''
gender dysphoria
Gender dysphoria (GD) is the distress a person experiences due to inconsistency between their gender identitytheir personal sense of their own genderand their sex assigned at birth. The term replaced the previous diagnostic label of gender i ...
'',
and terms such as ''transgender people'', ''trans men'', and ''trans women'', and ''non-binary'' are replacing the category of transsexual people.
Many of the issues regarding transgender rights are generally considered a part of
family law
Family law (also called matrimonial law or the law of domestic relations) is an area of the law that deals with family matters and domestic relations.
Overview
Subjects that commonly fall under a nation's body of family law include:
* Marriag ...
, especially the issues of
marriage
Marriage, also called matrimony or wedlock, is a culturally and often legally recognised union between people called spouses. It establishes rights and obligations between them, as well as between them and their children (if any), and b ...
and the question of a transgender person benefiting from a partner's
insurance
Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to protect ...
or
social security
Welfare spending is a type of government support intended to ensure that members of a society can meet basic human needs such as food and shelter. Social security may either be synonymous with welfare, or refer specifically to social insurance ...
.
The degree of
legal recognition
Legal recognition of a status or fact in a jurisdiction is a formal acknowledgment of it as being true, valid, legal, or worthy of consideration, and may involve approval or the granting of rights.
For example, a nation or territory may require ...
provided to transgender people varies widely throughout the world. Many countries now legally recognize sex reassignments by permitting a change of legal gender on an individual's
birth certificate
A birth certificate is a vital record that documents the Childbirth, birth of a person. The term "birth certificate" can refer to either the original document certifying the circumstances of the birth or to a certified copy of or representation ...
. Many transsexual people have permanent surgery to change their body,
gender-affirming surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associated ...
or semi-permanently change their body by hormonal means,
transgender hormone therapy
Gender-affirming hormone therapy (GAHT), also called hormone replacement therapy (HRT) or transgender hormone therapy, is a form of hormone therapy in which sex hormones and other hormonal medications are administered to transgender or gender n ...
.
The legal status of such healthcare varies. In many countries, some of these modifications are required for legal recognition. In a few, the legal aspects are directly tied to health care; i.e. the same bodies or doctors decide whether a person can move forward in their treatment and the subsequent processes automatically incorporate both matters. In others, these medical procedures are illegal.
In some jurisdictions, transgender people (who are considered non-transsexual) can benefit from the legal recognition given to
transsexual
A transsexual person is someone who experiences a gender identity that is inconsistent with their assigned sex, and desires to permanently transition to the sex or gender with which they identify, usually seeking medical assistance (incl ...
people. In some countries, an explicit medical diagnosis of "transsexualism" is (at least formally) necessary. In others, a diagnosis of "gender dysphoria", or simply the fact that one has established a non-conforming gender role, can be sufficient for some or all of the legal recognition available. The
DSM-5
The ''Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition'' (DSM-5), is the 2013 update to the '' Diagnostic and Statistical Manual of Mental Disorders'', the taxonomic and diagnostic tool published by the American Psychiat ...
recognizes gender dysphoria as an official diagnosis. Not all transgender or transsexual people feel gender dysphoria or gender incongruence, but in many countries a diagnosis is required for legal recognition, if transgender people are legally recognized at all.
Legislative efforts for the recognition of gender identity
National level
Legislative efforts against the recognition of gender identity
National level
Subnational level
United States
Africa
South Africa
The
Constitution of South Africa
The Constitution of South Africa is the supreme law of the Republic of South Africa. It provides the legal foundation for the existence of the republic, it sets out the human rights and duties of its citizens, and defines the structure of t ...
forbids discrimination on the basis of sex, gender and sexual orientation (amongst other grounds). The
Constitutional Court
A constitutional court is a high court that deals primarily with constitutional law. Its main authority is to rule on whether laws that are challenged are in fact unconstitutional, i.e. whether they conflict with constitutionally established ru ...
has indicated that "sexual orientation" includes transsexuality.
In 2003
Parliament
In modern politics and history, a parliament is a legislative body of government. Generally, a modern parliament has three functions: Representation (politics), representing the Election#Suffrage, electorate, making laws, and overseeing ...
enacted the
Alteration of Sex Description and Sex Status Act, which allows a transgender person who has undergone medical or surgical gender reassignment to apply to the
Department of Home Affairs to have the sex description altered on their birth record. Once the birth record is altered they can be issued with a new
birth certificate
A birth certificate is a vital record that documents the Childbirth, birth of a person. The term "birth certificate" can refer to either the original document certifying the circumstances of the birth or to a certified copy of or representation ...
and
identity document
An identity document (abbreviated as ID) is a documentation, document proving a person's Identity (social science), identity.
If the identity document is a plastic card it is called an ''identity card'' (abbreviated as ''IC'' or ''ID card''). ...
, and are considered "for all purposes" to be of the new sex.
Egypt
Transgender people face significant existing societal stigma against the LGBT+ community in
Egypt
Egypt ( , ), officially the Arab Republic of Egypt, is a country spanning the Northeast Africa, northeast corner of Africa and Western Asia, southwest corner of Asia via the Sinai Peninsula. It is bordered by the Mediterranean Sea to northe ...
, a conservative
Muslim
Muslims () are people who adhere to Islam, a Monotheism, monotheistic religion belonging to the Abrahamic religions, Abrahamic tradition. They consider the Quran, the foundational religious text of Islam, to be the verbatim word of the God ...
nation. The procedure for gender reassignment is not illegal in Egypt, however, the complication and stigmatisation has put transgender people through mental and physical assault along with torture, as per
Human Rights Watch
Human Rights Watch (HRW) is an international non-governmental organization that conducts research and advocacy on human rights. Headquartered in New York City, the group investigates and reports on issues including War crime, war crimes, crim ...
. Reportedly, the statistics of criminal acts committed against the transgender community have not been available because they have had a history of going unreported.
Botswana
In September 2017, the Botswana High Court ruled that the refusal of the Registrar of National Registration to change a transgender man's gender marker was "unreasonable and violated his constitutional rights to dignity, privacy, freedom of expression, equal protection of the law, freedom from discrimination and freedom from inhumane and degrading treatment". LGBT activists celebrated the ruling, describing it as a great victory. At first, the Botswana Government announced it would appeal the ruling, but decided against it in December, supplying the trans man in question with a new identity document that reflects his gender identity.
A similar case, where a transgender woman sought to change her gender marker to female, was heard in December 2017. The High Court ruled that the Government must recognise her gender identity. She dedicated her victory to "every single trans diverse person in Botswana".
Asia
China
According to a survey conducted by Peking University, Chinese
trans female students face strong discrimination in many areas of education.
Sex segregation
Sex segregation, sex separation, sex partition, gender segregation, gender separation, or gender partition is the physical, legal, or cultural separation of people according to their gender or Sex, biological sex at any age. Sex segregation ca ...
is found everywhere in Chinese schools and universities: student enrollment (for some special schools, universities and majors), appearance standards (
hairstyles
A hairstyle, hairdo, haircut, or coiffure refers to the styling of hair, usually on the human head but sometimes on the face or body. The fashioning of hair can be considered an aspect of personal grooming, fashion, and cosmetics, although ...
and
uniforms
A uniform is a variety of costume worn by members of an organization while usually participating in that organization's activity. Modern uniforms are most often worn by armed forces and paramilitary organizations such as police, emergency ser ...
included), private spaces (bathrooms, toilets and dormitories included), physical examinations,
military trainings,
conscription
Conscription, also known as the draft in the United States and Israel, is the practice in which the compulsory enlistment in a national service, mainly a military service, is enforced by law. Conscription dates back to antiquity and it conti ...
,
PE classes,
PE exams and physical health tests. Chinese students are required to attend all the activities according to their legal gender marker, otherwise they will be punished. It is also difficult to change the gender information of educational attainments and academic degrees in China, even after
sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...
, which results in discrimination against well-educated trans women.
Hong Kong
The
Hong Kong Court of Final Appeal ruled that a transsexual woman has the right to marry her boyfriend. The ruling was made on 13 May 2013.
On 16 September 2013,
Eliana Rubashkyn, a transgender woman claimed that she was discriminated and sexually abused by the customs officers, including being subjected to invasive body searches and denied usage of a female toilet, although Hong Kong officers denied the allegations.
After being released, she applied for and was granted refugee status by the
United Nations High Commissioner for Refugees
The Office of the United Nations High Commissioner for Refugees (UNHCR) is a United Nations agency mandated to aid and protect refugees, forcibly displaced communities, and stateless people, and to assist in their voluntary repatriation, l ...
(UNHCR), rendering her effectively
stateless awaiting acceptance to a third country.
In February 2023, the Court of Final Appeal ruled that the government's requirement of full
sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...
in order to update gender identity on ID cards was unconstitutional and unacceptably burdensome.
, the ruling has yet to be implemented.
India
In April 2014, the
Supreme Court of India
The Supreme Court of India is the supreme judiciary of India, judicial authority and the supreme court, highest court of the Republic of India. It is the final Appellate court, court of appeal for all civil and criminal cases in India. It also ...
declared transgender to be a 'third gender' in Indian law. The transgender community in India (made up of
Hijras and others) has a long history in India and in
Hindu mythology
Hindu mythology refers to the collection of myths associated with Hinduism, derived from various Hindu texts and traditions. These myths are found in sacred texts such as the Vedas, the Itihasas (the ''Mahabharata'' and the ''Ramayan ...
.
The
Transgender Persons (Protection of Rights) Act, 2019, was passed by Parliament in November 2019, and came into effect on 11 January 2020. It protects transgender individuals against discrimination in education, employment and healthcare. It recognizes the gender identity of the individual, and there are provisions in the law for a certificate to be issued with their new gender identity. There have been reservations among some in the transgender community, both regarding the difficulty of obtaining a certificate, and because of lack of awareness and lack of sensitivity to the issue among local public officials. LGBTQ protests against the bill have occurred, with claims that the bill hurts the transgender community instead of helping it. Protesters noted the provision for certification, but criticized the fact that this would require people to register with the government in order to be recognized as transgender. They also criticized the inequality inherent in the vast differences in punishment for the same crime, such as sexual abuse, committed against violating a transgender or cisgender individual.
Iran
Beginning in the mid-1980s, transgender individuals were officially recognized by the government and allowed to undergo
sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...
.
Officially the leader of Iran's
Islamic Revolution
The Iranian Revolution (, ), also known as the 1979 Revolution, or the Islamic Revolution of 1979 (, ) was a series of events that culminated in the overthrow of the Pahlavi dynasty in 1979. The revolution led to the replacement of the Im ...
,
Ayatollah Ruhollah Khomeini, issued a
fatwa
A fatwa (; ; ; ) is a legal ruling on a point of Islamic law (sharia) given by a qualified Islamic jurist ('' faqih'') in response to a question posed by a private individual, judge or government. A jurist issuing fatwas is called a ''mufti'', ...
declaring sex reassignment surgery permissible for "diagnosed transsexuals".
The government provides up to half the cost for those needing financial assistance, and a sex change is recognised on the birth certificate. Despite this, Iran's transgender people face discrimination in society. Founded in 2007 by
Maryam Khatoon Molkara
Maryam Khatoonpour Molkara (; 1950–2012) was an Iranian transgender rights activist, and she was widely recognized as a matriarch of the transgender community in Iran. Designated male at birth, she was later instrumental in obtaining a letter ...
the Iranian Society to Support Individuals with Gender Identity Disorder (انجمن حمایت از بیماران مبتلا به اختلالات هویت جنسی ایران) is Iran's main transsexual organization.
Additionally, the Iranian government's response to homosexuality is to pressure lesbian and gay individuals, who are not in fact transsexual, towards sex reassignment surgery. Eshaghian's documentary, ''
Be Like Others'', chronicles a number of stories of
Iranian gay men who feel transitioning is the only way to avoid further persecution, jail, or execution.
Maryam Khatoon Molkara
Maryam Khatoonpour Molkara (; 1950–2012) was an Iranian transgender rights activist, and she was widely recognized as a matriarch of the transgender community in Iran. Designated male at birth, she was later instrumental in obtaining a letter ...
—who convinced Khomeini to issue the fatwa on transsexuality—confirmed that some people who undergo operations are gay rather than transsexual.
Japan
On 10 July 2003, the
National Diet
, transcription_name = ''Kokkai''
, legislature = 215th Session of the National Diet
, coa_pic = Flag of Japan.svg
, house_type = Bicameral
, houses =
, foundation=29 November 1890(), leader1_type ...
of Japan unanimously approved a new law that enables transsexual people to amend their legal sex. It is called ' (Act on Special Cases in Handling Gender for People with Gender Identity Disorder) The law, effective on 16 July 2004, however, has controversial conditions which demand the applicants be both unmarried and childless. On 28 July 2004, Naha Family Court in
Okinawa Prefecture
is the southernmost and westernmost prefecture of Japan. It consists of three main island groups—the Okinawa Islands, the Sakishima Islands, and the Daitō Islands—spread across a maritime zone approximately 1,000 kilometers east to west an ...
returned a verdict to a transsexual woman in her 20s, allowing the sex on her
family registry record or
koseki
A or family register is a Japanese family register, family registry. Japanese law requires all Japanese households to make notifications of their vital records (such as births, adoptions, deaths, marriages and divorces) to their local Municipa ...
to be amended from male to female. It is generally believed to be the first court approval under the new law. Since 2018 sex reassignment surgeries are paid for by the Japanese government, which are covered by the Japanese national health insurance as long as patients are not receiving
hormone treatment and do not have any other pre-existing conditions. However applicants are required to be at least 20 years old, single, sterile, have no children under 20 (the age of majority in Japan), as well as to undergo a psychiatric evaluation to receive a diagnosis of "
Gender Identity Disorder
Gender dysphoria (GD) is the distress a person experiences due to inconsistency between their gender identitytheir personal sense of their own genderand their sex assignment, sex assigned at birth. The term replaced the previous diagnostic lab ...
", also known as
gender dysphoria
Gender dysphoria (GD) is the distress a person experiences due to inconsistency between their gender identitytheir personal sense of their own genderand their sex assigned at birth. The term replaced the previous diagnostic label of gender i ...
in western countries. Once completed the patient has to only pay 30% of the surgery costs.
Malaysia
There is no legislation expressly allowing transsexuals to legally change their gender in
Malaysia
Malaysia is a country in Southeast Asia. Featuring the Tanjung Piai, southernmost point of continental Eurasia, it is a federation, federal constitutional monarchy consisting of States and federal territories of Malaysia, 13 states and thre ...
. The relevant legislations are the Births and Deaths Registration Act 1957 and National Registration Act 1959. Therefore, judges currently exercise their discretion in interpreting the law and defining the gender. There are conflicting decisions on this matter. There is a case in 2003 where the court allowed a transsexual to change her gender indicated in the
identity card
An identity document (abbreviated as ID) is a documentation, document proving a person's Identity (social science), identity.
If the identity document is a plastic card it is called an ''identity card'' (abbreviated as ''IC'' or ''ID card''). ...
, and granted a declaration that she is a female.
However, in 2005, in another case, the court refused to amend the gender of a transsexual in the identity card and
birth certificate
A birth certificate is a vital record that documents the Childbirth, birth of a person. The term "birth certificate" can refer to either the original document certifying the circumstances of the birth or to a certified copy of or representation ...
.
Both cases applied the United Kingdom case of ''
Corbett v Corbett
''Corbett v Corbett (otherwise Ashley)'' is a 1970 family law divorce case heard between November and December 1969 by the High Court of England and Wales in which Arthur Corbett sought annulment of his marriage to April Ashley. Corbett had k ...
'' in defining legal gender.
Pakistan
In Pakistan, some members of the LGBT community have started undergoing acts of sex reassignment surgery to change their sex. There are situations where such cases have caused media attention.
A 2008 ruling at Pakistan's
Lahore High Court
The Lahore High Court () is a provincial court house based in Lahore, Punjab, Pakistan. It was established as a high court on 21 March 1882. The Lahore High Court has jurisdiction over the province of Punjab. The High Court's principal seat is ...
gave permission to Naureen, 28, to have a sex change operation, although the decision was applicable only towards individuals who were diagnosed with gender dysphoria.
In 2009, the Pakistan Supreme Court made a ruling in favor of the transgender community. The landmark ruling stated that as citizens they were entitled to the equal benefit and protection of the law and called upon the Pakistani government to take steps to protect transgender people from discrimination and harassment. Pakistan's chief justice, Iftikhar Chaudhry, was the architect of major extension of rights to Pakistan's transgender community during his term. There are also anti-discrimination laws in the provision of goods and services for transgender or transsexual individuals (known as Khuwaja Sira, formerly hijra, or Third Gender) in Pakistani.
In 2018, the
Pakistani government passed the Transgender Person (Protection of Rights) Act which officially established the legal right of transgender people in Pakistan to identify themselves as such and instituted anti-discrimination laws. These include recognition of transgender identity in legal documents such as
passports
A passport is an official travel document issued by a government that certifies a person's identity and nationality for international travel. A passport allows its bearer to enter and temporarily reside in a foreign country, access local aid ...
, identity card, and drivers licences, along with prohibiting discrimination in employment, schools, workplaces, public transit, healthcare, etc. The bill also included the right for inheritance in accordance to their chosen gender. Furthermore, the bill obligates the Pakistani government to build protection centers and safe houses for the specific purpose of being used by the transgender community in Pakistan.
Jordan
The Court of Cassation, the highest court in
Jordan
Jordan, officially the Hashemite Kingdom of Jordan, is a country in the Southern Levant region of West Asia. Jordan is bordered by Syria to the north, Iraq to the east, Saudi Arabia to the south, and Israel and the occupied Palestinian ter ...
allowed a
transsexual
A transsexual person is someone who experiences a gender identity that is inconsistent with their assigned sex, and desires to permanently transition to the sex or gender with which they identify, usually seeking medical assistance (incl ...
woman to change her legal name and sex to female in 2014 after she brought forth medical reports from Australia. The head of the Jordanian Department of civil Status and Passports stated that two to three cases of change of sex reach the department annually, all based on Medical Reports and Court orders.
Lebanon
In January 2016, the Court of Appeals of Beirut confirmed the right of a transgender man to change his official papers, granting him access to necessary treatment and privacy.
Transgender people are required to undergo
sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...
in order to change their legal gender.
Philippines
The
Supreme Court of the Philippines
The Supreme Court (; colloquially referred to as the ' (also used in formal writing), is the highest court in the Philippines. It was established by the Taft Commission on June 11, 1901, through the enactment of Act No. 136, which abolished th ...
Justice
Leonardo Quisumbing on 12 September 2008, allowed Jeff Cagandahan, 27, to change his
birth certificate
A birth certificate is a vital record that documents the Childbirth, birth of a person. The term "birth certificate" can refer to either the original document certifying the circumstances of the birth or to a certified copy of or representation ...
, gender and name:
We respect respondent's congenital condition and his mature decision to be a male. Life is already difficult for the ordinary person. We cannot but respect how respondent deals with his unordinary state and thus help make his life easier, considering the unique circumstances in this case. In the absence of a law on the matter, the court will not dictate on respondent concerning a matter so innately private as one's sexuality and lifestyle preferences, much less on whether or not to undergo medical treatment to reverse the male tendency due to rare medical condition, congenital adrenal hyperplasia
Congenital adrenal hyperplasia (CAH) is a group of Genetic disorder#Autosomal recessive, autosomal recessive disorders characterized by impaired cortisol synthesis. It results from the deficiency of one of the five enzymes required for the Biosy ...
. In the absence of evidence that respondent is an 'incompetent,' and in the absence of evidence to show that classifying respondent as a male will harm other members of society ... the court affirms as valid and justified the respondent's position and his personal judgment of being a male.
Court records showed that at age six, he had small
ovaries
The ovary () is a gonad in the female reproductive system that produces ova; when released, an ovum travels through the fallopian tube/oviduct into the uterus. There is an ovary on the left and the right side of the body. The ovaries are endocr ...
; at 13, his ovarian structure was minimized, he had no breasts and did not menstruate. The
psychiatrist
A psychiatrist is a physician who specializes in psychiatry. Psychiatrists are physicians who evaluate patients to determine whether their symptoms are the result of a physical illness, a combination of physical and mental ailments or strictly ...
testified that "he has both male and female sex organs, but was genetically female, and that since his body secreted male hormones, his female organs did not develop normally." The
Philippines
The Philippines, officially the Republic of the Philippines, is an Archipelagic state, archipelagic country in Southeast Asia. Located in the western Pacific Ocean, it consists of List of islands of the Philippines, 7,641 islands, with a tot ...
National Institutes of Health said "people with congenital adrenal hyperplasia lack an
enzyme
An enzyme () is a protein that acts as a biological catalyst by accelerating chemical reactions. The molecules upon which enzymes may act are called substrate (chemistry), substrates, and the enzyme converts the substrates into different mol ...
needed by the
adrenal gland
The adrenal glands (also known as suprarenal glands) are endocrine glands that produce a variety of hormones including adrenaline and the steroids aldosterone and cortisol. They are found above the kidneys. Each gland has an outer adrenal corte ...
to make the
hormones
A hormone (from the Greek participle , "setting in motion") is a class of signaling molecules in multicellular organisms that are sent to distant organs or tissues by complex biological processes to regulate physiology and behavior. Hormones a ...
cortisol
Cortisol is a steroid hormone in the glucocorticoid class of hormones and a stress hormone. When used as medication, it is known as hydrocortisone.
Cortisol is produced in many animals, mainly by the ''zona fasciculata'' of the adrenal corte ...
and
aldosterone
Aldosterone is the main mineralocorticoid steroid hormone produced by the zona glomerulosa of the adrenal cortex in the adrenal gland. It is essential for sodium conservation in the kidney, salivary glands, sweat glands, and colon. It plays ...
.
This ruling, however, only applied to cases involving congenital adrenal hyperplasia and other intersex situations. The Philippine Supreme Court has also ruled that Filipino citizens do not have the right to legally change their sex on official documents (driver's license, passport, birth certificate, Social Security records, etc.) if they are transsexual and have undergone sexual reassignment surgery. In 2007, the Court overruled a lower court decision and found that another individual could not legally change name and sex from male to female, as it would have "serious and wide-ranging legal and public policy consequences," citing the institution of marriage in particular.
South Korea
In South Korea, it is possible for transgender individuals to change their legal gender, although it depends on the decision of the judge for each case. Since the 1990s, however, it has been approved in most of the cases. The legal system in Korea does not prevent marriage once a person has changed their legal gender.
In 2006, the Supreme Court of Korea ruled that transsexuals have the right to alter their legal papers to reflect their reassigned sex. A trans woman can be registered, not only as female, but also as being "born as a woman".
While same-sex marriage is not approved by South Korean law, a transsexual woman obtains the marital status of 'female' automatically when she marries to a man, even if she has previously been designated as "male".
In 2013 a court ruled that transgender people can change their legal sex without undergoing genital surgery.
Taiwan
Transgender people in Taiwan need to undergo genital surgery (removal of primary sex organs) in order to register gender change on both the identity card and the birth certificate. The surgery requires approval of two psychiatrists, and the procedure is ''not'' covered by the National Health Insurance. The government conducted public consultations on the elimination of surgery requirements back in 2015, but no concrete changes have been made since then.
In 2018, the government unveiled the new chip-embedded identity card, scheduled to be issued in late 2020. Gender will not be explicitly displayed on the physical card, although the second digit of national identification number reveals gender information anyway ("1" for male; "2" for female). With the inception of new identity card, a third gender option (using digit "7" as the second digit of national identification number) will be available to transgender persons alike. However, it raises concerns that the practice could stigmatize transgender persons, instead of respecting their gender identity. Details of the third-gender option policy are yet to be released.
After
same-sex marriage law became effective on 24 May 2019, transgender persons could marry a person of the same registered gender.
Europe
A majority of countries in Europe give transgender people the right to at least change their first name, most of which also provide a way of changing birth certificates. Several European countries recognize the right of transgender people to marry in accordance with their post-operative sex.
Croatia
Croatia, officially the Republic of Croatia, is a country in Central Europe, Central and Southeast Europe, on the coast of the Adriatic Sea. It borders Slovenia to the northwest, Hungary to the northeast, Serbia to the east, Bosnia and Herze ...
,
Czech Republic
The Czech Republic, also known as Czechia, and historically known as Bohemia, is a landlocked country in Central Europe. The country is bordered by Austria to the south, Germany to the west, Poland to the northeast, and Slovakia to the south ...
, Denmark, Finland, France, Germany, Ireland, Italy, the Netherlands, Norway, Poland, Portugal, Romania, Sweden, Spain, and the United Kingdom all recognize this right. The
provides regulations for mutual recognition of sex change decisions and has been signed by five European countries and ratified by Spain and the Netherlands.
Finland
Before 2023, people wishing to change their legal gender in Finland had to be sterilized or be found infertile. A recommendation from the
UN Human Rights Council
The United Nations Human Rights Council (UNHRC) is a United Nations body whose mission is to promote and protect human rights around the world. The Council has 47 members elected for staggered three-year terms on a regional group basis. The ...
to eliminate the sterilization requirement was rejected by the Finnish government in 2017.
In 2023, Finland changed its gender identity law in 2023 so that it no longer requires sterilization and is instead based on self-identification.
France
In France, the change of the first name can be done by registry office or tribunal. The change of sex can be done by tribunal. In both cases there is no need for psychiatric reports or sex reassignment surgery.
Germany
In 1908,
Imperial Germany
The German Empire (),; ; World Book, Inc. ''The World Book dictionary, Volume 1''. World Book, Inc., 2003. p. 572. States that Deutsches Reich translates as "German Realm" and was a former official name of Germany. also referred to as Imperia ...
(with the help of sexologist
Magnus Hirschfeld
Magnus Hirschfeld (14 May 1868 – 14 May 1935) was a German physician, Sexology, sexologist and LGBTQ advocate, whose German citizenship was later revoked by the Nazi government.David A. Gerstner, ''Routledge International Encyclopedia of Queer ...
and the
WhK) issued a very limited number of
'transvestite passes' – ''
transvestite'' at this time referring to crossdressers as well as transgender and
gender non-conforming people – which enabled individuals to dress in clothes which were seen as discordant with their
sex
Sex is the biological trait that determines whether a sexually reproducing organism produces male or female gametes. During sexual reproduction, a male and a female gamete fuse to form a zygote, which develops into an offspring that inheri ...
. This ended in 1933.
Since 1980, Germany has a law that regulates the change of first names and legal gender. It is called (Law about the change of first name and determination of gender identity in special cases (Transsexual law – TSG)). Requirements that applicants for a change in gender were infertile post-surgery declared unconstitutional by a supreme court ruling in 2011.
In April 2024, the German parliament has passed a self-identification law making it easier for individuals within Germany to legally change gender on documents. It went into legal effect on November 1, 2024.
Greece
On 10 October 2017, the
Greek Parliament
The Parliament of the Hellenes (), commonly known as the Hellenic Parliament (), is the unicameral legislature of Greece, located in the Old Royal Palace, overlooking Syntagma Square in Athens. The parliament is the supreme democratic instit ...
passed, by a comfortable majority,
the ''Legal Gender Recognition Bill'' which grants the transgender people in Greece the right to change their legal gender freely by abolishing any conditions and requirements, such as undergoing any medical interventions, sex reassignment surgeries or
sterilisation procedures to have their gender legally recognized on their IDs. The bill grants this right to anyone aged 17 and older. Although, individuals aged between 15 and 17 will have access to the legal gender recognition process, but under certain conditions, such as obtaining a certificate from a medical council.
The bill was opposed by the
Holy Synod
In several of the autocephalous Eastern Orthodox Churches and Eastern Catholic Churches, the patriarch or head bishop is elected by a group of bishops called the Holy Synod. For instance, the Holy Synod is a ruling body of the Georgian Orthodox ...
of the
Orthodox Church, the
Communist Party of Greece
The Communist Party of Greece (, ΚΚΕ; ''Kommounistikó Kómma Elládas'', KKE) is a Marxist–Leninist political party in Greece. It was founded in 1918 as the Socialist Workers' Party of Greece (SEKE) and adopted its current name in Novem ...
,
Golden Dawn and
New Democracy
New Democracy, or the New Democratic Revolution, is a type of democracy in Marxism, based on Mao Zedong's Bloc of Four Social Classes theory in post-revolutionary China which argued originally that democracy in China would take a path that w ...
.
The Legal Gender Recognition Bill followed a 20 July 2016 decision of the County Court of Athens, which ruled that a person who wants to change their legal gender on the Registry Office files is no longer obliged to already have undergone a sex reassignment surgery. This decision was applied by the Court on a case-by-case basis.
Republic of Ireland
In Ireland, it was not possible for a transsexual person to alter their birth certificate until 2015. The High Court took a case by
Lydia Foy in 2002 that was turned down, as a birth certificate was deemed to be a historical document.
On 15 July 2015 Ireland passed the Gender Recognition Act, which allows legal gender changes without the requirement of medical intervention or assessment by the state. Such change is possible through self-determination for any person aged 18 or over resident in Ireland and registered on Irish registers of birth or adoption. Persons aged 16 to 18 years must secure a court order to exempt them from the normal requirement to be at least 18. At the time, Ireland was one of four legal jurisdictions in the world where people may legally change gender through self-determination.
Malta
Malta passed the 'Gender Identity, Gender Expression, and Sex Characteristics Act in 2015. This bill states that all citizens of Malta have the right to
# The recognition of their gender identity;
# The free development of their person according to their gender identity;
# Be treated according to their gender identity and, particularly, to be identified in that way in the documents providing their identity therein; and
# Bodily integrity and physical autonomy.
This act protects the gender identity of a person at all times. It also states that "person shall not be required to provide proof of a surgical procedure for total or partial genital reassignment, hormonal therapies or any other psychiatric, psychological or medical treatment to make use of the right to gender identity." The act allows parents to postpone listing gender on a child's birth certificate and prohibits "non-medically necessary treatments on the sex characteristics of a person."
Nordic countries
The
Nordic model approach to transgender rights emphasizes the human rights of transgender people and is based on legal equality and self-identification, which has been adopted in countries such as
Denmark
Denmark is a Nordic countries, Nordic country in Northern Europe. It is the metropole and most populous constituent of the Kingdom of Denmark,, . also known as the Danish Realm, a constitutionally unitary state that includes the Autonomous a ...
,
Greenland
Greenland is an autonomous territory in the Danish Realm, Kingdom of Denmark. It is by far the largest geographically of three constituent parts of the kingdom; the other two are metropolitan Denmark and the Faroe Islands. Citizens of Greenlan ...
,
Norway
Norway, officially the Kingdom of Norway, is a Nordic countries, Nordic country located on the Scandinavian Peninsula in Northern Europe. The remote Arctic island of Jan Mayen and the archipelago of Svalbard also form part of the Kingdom of ...
and
Iceland
Iceland is a Nordic countries, Nordic island country between the Atlantic Ocean, North Atlantic and Arctic Oceans, on the Mid-Atlantic Ridge between North America and Europe. It is culturally and politically linked with Europe and is the regi ...
. In 2014, the Danish Parliament voted 59–52 to remove the requirement of a mental disorder diagnosis and surgery with irreversible sterilization for transgender people who wish to change their legal gender. A similar act was adopted in Greenland in 2016.
In Norway the
Gender Recognition Act, that introduced self-identification, was introduced by the
Conservative
Conservatism is a cultural, social, and political philosophy and ideology that seeks to promote and preserve traditional institutions, customs, and values. The central tenets of conservatism may vary in relation to the culture and civiliza ...
-led
government
A government is the system or group of people governing an organized community, generally a State (polity), state.
In the case of its broad associative definition, government normally consists of legislature, executive (government), execu ...
of
Erna Solberg
Erna Solberg (; born 24 February 1961) is a Norwegian politician and the current Leader of the Opposition. She served as the prime minister of Norway from 2013 to 2021, and has been the leader of the Conservative Party of Norway, Conservative Part ...
and adopted in 2016. The act received widespread support from most political parties, the LGBTIQ+ rights movement and the feminist movement, including the
Norwegian Association for Women's Rights
The Norwegian Association for Women's Rights (; NKF) is Norway's oldest and preeminent women's rights, women's and girls' rights organization that works "to promote gender equality and all women's and girls' human rights through political reform, ...
.
Transgender people are also protected against discrimination and hate speech under discrimination and criminal law. Iceland adopted the Gender Autonomy Act that introduced self-identification and a third legal gender option in 2019, which received widespread support, including from the
Icelandic Women's Rights Association. The women's rights movement in the Nordic countries strongly supports transgender rights. In 2021 the Icelandic Women's Rights Association in cooperation with the
International Alliance of Women
The International Alliance of Women (IAW; , AIF) is an international non-governmental organization that works to promote women's rights and gender equality. It was historically the main international organization that campaigned for women's suff ...
organized a forum on how the women's movement could counter "anti-trans voices." Sweden has had a gender identity law since 1972, widely regarded as the first in the world. Since 2013, neither sterilization nor other treatment is required for trans people who need to change their legal sex, but a diagnosis is required. In April 2024, Sweden passed laws coming into effect on 1 July 2025. The minimum age for changing one's legal gender is reduced to 16, and a diagnosis of gender dysphoria is no longer required. Surgical procedures will no longer require the approval of the National Board of Health and Welfare. Finland changed its gender identity law in 2023 so that it no longer requires sterilization and is instead based on self-identification.
Poland

The first milestone sentence in the case of gender shifting was given by Warsaw's Voivode Court in 1964. The court reasoned that it be possible, in face of civil procedure and acting on civil registry records, to change one's legal gender after their genital reassignment surgery had been conducted. In 1983, the Supreme Court ruled that in some cases, when the attributes of the individual's preferred gender were predominant, it is possible to change one's legal gender even before genital reassignment surgery.
In 2011, Anna Grodzka, the first transgender MP in the history of Europe who underwent a genital reassignment operation was appointed. In the Polish Parliamentary Election 2011 she gained 19,337 votes (45,079 voted for her party in the constituency) in the City of
Kraków
, officially the Royal Capital City of Kraków, is the List of cities and towns in Poland, second-largest and one of the oldest cities in Poland. Situated on the Vistula River in Lesser Poland Voivodeship, the city has a population of 804,237 ...
and came sixth in her electoral district (928,914 people, voter turnout 55.75%). Grodzka was reportedly the only transgender person with ministerial responsibilities in the world since 10 November 2011 (as of 2015).
Portugal
The law allows adults aged 18 or older to change their legal gender without any requirements. Persons aged 16 and 17 are able to change gender with parental consent and a psychological opinion, confirming that their decision has been taken freely and without any outside pressure. The law also prohibits both direct and indirect discrimination based on gender identity, gender expression and sex characteristics, and bans non-consensual sex assignment treatment and/or surgical intervention on intersex children.
Romania
In
Romania
Romania is a country located at the crossroads of Central Europe, Central, Eastern Europe, Eastern and Southeast Europe. It borders Ukraine to the north and east, Hungary to the west, Serbia to the southwest, Bulgaria to the south, Moldova to ...
it is legal for transgender people to change their first name to reflect their gender identity based on personal choice. Since 1996, it has been possible for someone who has gone through genital reassignment surgery to change their legal gender in order to reflect their post-operative sex. Transgender people then have the right to marry in accordance with their post-operative sex.
United Kingdom
The
Sex Discrimination Act 1975 made it illegal to discriminate on the ground of
anatomical sex in employment, education, and the provision of housing, goods, facilities and services.
The
Equality Act 2006 introduced the
Gender Equality Duty in Scotland, which required public bodies to take seriously the threat of harassment or discrimination against transsexual people in various situations. In 2008 the Sex Discrimination (Amendment of Legislation) Regulations extended existing regulation to outlaw discrimination when providing goods or services to transsexual people. The
Equality Act 2010
The Equality Act 2010 (c. 15) is an act of Parliament of the United Kingdom passed during the Brown ministry with the primary purpose of consolidating, updating and supplementing the numerous prior Acts and Regulations, that formed the basis o ...
added "gender reassignment" as a "protected characteristic".
The
Gender Recognition Act 2004 effectively granted full legal recognition for binary transgender people.
[ The gender recognition process under the Act does not require applicants to be post-operative but there must be significant medical explanation as to why an individual has not undergone sex reassignment surgery. They need to demonstrate that they have suffered ]gender dysphoria
Gender dysphoria (GD) is the distress a person experiences due to inconsistency between their gender identitytheir personal sense of their own genderand their sex assigned at birth. The term replaced the previous diagnostic label of gender i ...
, have lived as their affirmed gender (i.e. the gender to which they are transitioning) for two years, and intend to continue doing so until death.
North America
Canada
Jurisdiction over legal classification of sex in Canada is assigned to the provinces and territories. This includes legal change of gender classification.
On 19 June 2017 Bill C-16, after having passed the legislative process in the House of Commons of Canada
The House of Commons of Canada () is the lower house of the Parliament of Canada. Together with the Monarchy of Canada#Parliament (King-in-Parliament), Crown and the Senate of Canada, they comprise the Bicameralism, bicameral legislature of Ca ...
and the Senate of Canada
The Senate of Canada () is the upper house of the Parliament of Canada. Together with the Monarchy of Canada#Parliament (King-in-Parliament), Crown and the House of Commons of Canada, House of Commons, they compose the Bicameralism, bicameral le ...
, became law upon receiving Royal Assent
Royal assent is the method by which a monarch formally approves an act of the legislature, either directly or through an official acting on the monarch's behalf. In some jurisdictions, royal assent is equivalent to promulgation, while in othe ...
which put it into immediate force. The law updated the Canadian Human Rights Act
The ''Canadian Human Rights Act'' () is a statute passed by the Parliament of Canada in 1977 with the express goal of extending the law to ensure equal opportunity to individuals who may be victims of discriminatory practices based on a set of ...
and the Criminal Code
A criminal code or penal code is a document that compiles all, or a significant amount of, a particular jurisdiction's criminal law. Typically a criminal code will contain offences that are recognised in the jurisdiction, penalties that might ...
to include "gender identity and gender expression" as protected grounds from discrimination, hate publications and advocating genocide. The bill also added "gender identity and expression" to the list of aggravating factors in sentencing, where the accused commits a criminal offence against an individual because of those personal characteristics. Similar transgender laws also exist in all the provinces and territories. Bill C-4 reached Royal assent on December 8, 2021, criminalizing the practice of conversion therapy
Conversion therapy is the pseudoscientific practice of attempting to change an individual's sexual orientation, romantic orientation, gender identity, or gender expression to align with heterosexual and cisgender norms. Methods that have ...
throughout Canada.
Mexico
Jurisdiction over legal classification of sex in Mexico is assigned to the states and Mexico City. This includes legal change of gender classification.
On 13 March 2004, amendments to the Mexico City Civil Code that allow transgender people to change their gender and name on their birth certificates, took effect.
In September 2008, the PRD-controlled Mexico City Legislative Assembly approved a law, in a 37–17 vote, making gender changes easier for transgender people.
On 13 November 2014, the Legislative Assembly of Mexico City unanimously (46–0) approved a gender identity law. The law makes it easier for transgender people to change their legal gender. Under the new law, they simply have to notify the Civil Registry that they wish to change the gender information on their birth certificates. Sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...
, psychological therapies or any other type of diagnosis are no longer required. The law took effect in early 2015. On 13 July 2017, the Michoacán Congress approved (22–1) a gender identity law. Nayarit approved (23–1) a similar law on 20 July 2017.
United States
On 15 June 2020, the Supreme Court of the United States
The Supreme Court of the United States (SCOTUS) is the highest court in the federal judiciary of the United States. It has ultimate appellate jurisdiction over all Federal tribunals in the United States, U.S. federal court cases, and over Stat ...
(SCOTUS) ruled in Bostock v. Clayton County that for the purposes of Title VII of the Civil Rights Act of 1964
The Civil Rights Act of 1964 () is a landmark civil rights and United States labor law, labor law in the United States that outlaws discrimination based on Race (human categorization), race, Person of color, color, religion, sex, and nationa ...
, discrimination on the basis of transgender status is also discrimination because of sex.
Regardless of the legal sex classification determined by a state or territory, the federal government may make its own determination of sex classification for federally issued documents. For instance, the U.S. Department of State requires a medical certification of "appropriate clinical treatment for transition to the updated gender (male or female)" to amend the gender designation on a U.S. passport, but sex reassignment surgery is not a requirement to obtain a U.S. passport in the updated gender. This leaves transgender Americans subject to inconsistent regulations when seeking surgery and hormone treatment.
As of November 27th, 2024, 48 anti-trans bills have been passed across 17 states, while 84 are being considered at the federal level, and a total of 559 have been considered this year. These bills aim to re-define sex, restrict access to life saving medical care
Health care, or healthcare, is the improvement or maintenance of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is deliver ...
, to education, to sports, to bathrooms, and to marriage and military positions. "2024 is the fifth consecutive record-breaking year for total bills considered. This follows the unprecedented surge in 2023, which tripled the record set the year before.
Most infamous of the bills passed is Florida's " Florida Parental Rights in Education Act, Parental Rights in Education Act" law, with a stated purpose to "prohibit classroom discussion about sexual orientation or gender identity." Missouri state representative Jamie Gragg introduced that would allow a teacher or school counselor to be charged with a felony if they support a social transition. Supporting or encouraging a social transition can be as simple as using preferred names or pronouns. The teacher or school counselor would also need to register as a sex offender if found guilty.
South America
South America has some of the most progressive legislation in the world regarding transgender rights. Bolivia and Ecuador are among the few countries worldwide that offer constitutional protection against discrimination based on gender identity. Transgender persons are allowed to change their name and gender on legal documents in a majority of countries. Argentina, Brazil, Bolivia, Chile, Colombia, Ecuador and Uruguay allow individuals to change their name and gender without undergoing medical treatment, sterilization or judicial permission. In Peru
Peru, officially the Republic of Peru, is a country in western South America. It is bordered in the north by Ecuador and Colombia, in the east by Brazil, in the southeast by Bolivia, in the south by Chile, and in the south and west by the Pac ...
a judicial order is required.
Argentina
In 2012 the Argentine Congress passed the Ley de Género (Gender Law), which allows individuals over 18 to change the gender marker in their DNI (national ID) on the basis of a written declaration only. Argentina thus became the first country to adopt a gender recognition policy based entirely on individual autonomy, without any requirement for third party diagnosis, surgeries or obstacles of any type.
Bolivia
The Gender Identity law allows individuals over 18 to legally change their name, gender and photography on legal documents. No surgeries or judicial order are required. The law took effect on 1 August 2016.
Brazil
In 1971, Dr. Roberto Farina performed the first male-to-female gender-affirming surgery in Brazil.
Changing legal gender assignment in Brazil is legal according to the Superior Court of Justice of Brazil, as stated in a decision rendered on 17 October 2009.
And in 2008, Brazil's public health system started providing free sexual reassignment operations in compliance with a court order. Federal prosecutors had argued that sexual reassignment surgery was covered under a constitutional
A constitution is the aggregate of fundamental principles or established precedents that constitute the legal basis of a polity, organization or other type of entity, and commonly determines how that entity is to be governed.
When these princ ...
clause guaranteeing medical care
Health care, or healthcare, is the improvement or maintenance of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is deliver ...
as a basic right.
Patients must be at least 18 years old and diagnosed as transsexuals with no other personality disorder
Personality disorders (PD) are a class of mental health conditions characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the culture. ...
s, and must undergo psychological evaluation
Psychological evaluation is a method to assess an individual's behavior, personality, cognitive abilities, and several other domains. A common reason for a psychological evaluation is to identify psychological factors that may be inhibiting ''a p ...
with a multidisciplinary team for at least two years, begins with 16 years old.
The national average is of 100 surgeries per year, according to the Ministry of Health of Brazil.
In December 2020, a bill was introduced that defines biological sex as the only factor in determining gender.
Chile
Chile bans all discrimination and hate crimes based on gender identity and gender expression. The Gender Identity Law, in effect since 2019, recognizes the right to self-perceived gender identity, allowing people over 14 years to change their name and gender on all official documents without prohibitive requirements. Since 1974, the change of gender had been possible in the country through a judicial process.
Colombia
Since 2015, a Colombian person may change their legal gender and name manifesting their solemn will before a notary, no surgeries or judicial order required.
Ecuador
Since 2016, Ecuadorians are allowed to change their birth name and gender identity (instead of the sex assigned at birth) on legal documents and national ID cards. The person who wants to change the word "sex" for "gender" in the identity card shall present two witnesses to accredit the self-determination of the applicant.
Peru
In Peru transgender persons can change their legal gender and name after complying with certain requirements that may become psychological and psychiatric evaluations, a medical intervention or sex reassignment surgery. A judicial permission is required.
In November 2016, the Constitutional Court of Peru determined that transsexuality is not a pathology and recognized the right to gender identity. However, favorable judicial decisions on gender change have been appealed.
Uruguay
Since 2019, transgender people can self-identify their gender and update their legal name, without approval from a judge after the approval of the Comprehensive Law for Trans Persons. The new law creates scholarships for trans people to access education, a monthly pension for transgender people born before 1975 and also requires government services to employ a minimum of 1% of the transgender population. It also now acknowledges the self-identification of non-binary people.
In October 2009, lawmakers passed the Gender identity law allowing transgender people over the age of 18 to change their name and legal gender on all official documents. Surgery, diagnosis or hormone therapy were not a requirement but a judicial permission was required.
Oceania
Australia
Birth certificates are regulated by the states and territories, whereas marriage and passports are matters for federal law. All Australian jurisdictions now recognise the affirmed sex of an individual, with varying requirements. In the landmark case ''New South Wales Registrar of Births, Deaths and Marriages v Norrie'' 014 014 may refer to:
* Argus As 014
The Argus As 014 (designated 109-014 by the Ministry of Aviation (Germany), RLM) was a pulsejet engine used on the German V-1 flying bomb of World War II, and the first model of pulsejet engine placed in mass pr ...
the High Court of Australia held that the ''Births Deaths and Marriages Registration Act 1995'' (NSW) did not require a person having undergone genital reassignment surgery to identify as either a man or a woman. The ruling permits a gender registration of "non-specific".
Passports are issued in the preferred gender, without requiring a change to birth certificates or citizenship certificates. A letter is needed from a medical practitioner which certifies that the person has had or is receiving appropriate treatment.
Australia was the only country in the world to require the involvement and approval of the judiciary (Family Court of Australia
The Family Court of Australia was a superior Australian federal court of record which deals with family law matters, such as divorce applications, parenting disputes, and the division of property when a couple separate. Together with the Fed ...
) with respect to allowing transgender children access to hormone replacement therapy
Hormone replacement therapy (HRT), also known as menopausal hormone therapy or postmenopausal hormone therapy, is a form of hormone therapy used to treat symptoms associated with female menopause. Effects of menopause can include symptoms such ...
. This ended in late 2017, when the Family Court issued a landmark ruling establishing that, in cases where there is no dispute between a child, their parents, and their treating doctors, hormone treatment can be prescribed without court permission.
Fiji
The Constitution
A constitution is the aggregate of fundamental principles or established precedents that constitute the legal basis of a polity, organization or other type of entity, and commonly determines how that entity is to be governed.
When these pri ...
of Fiji which was promulgated in September 2013 includes a provision banning discrimination based on sexual orientation and gender identity or expression.[CONSTITUTION OF THE REPUBLIC OF FIJI](_blank)
Guam
Gender changes are legal in Guam
Guam ( ; ) is an island that is an Territories of the United States, organized, unincorporated territory of the United States in the Micronesia subregion of the western Pacific Ocean. Guam's capital is Hagåtña, Guam, Hagåtña, and the most ...
. In order for transgender people to change their legal gender in Guam, they must provide the Office of Vital Statistics a sworn statement from a physician that they have undergone sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...
. The Office will subsequently amend the birth certificate of the requester.
New Zealand
Currently, the Human Rights Act 1993 does not explicitly prohibit discrimination on the basis of gender. Whilst it is believed that gender identity is protected under the laws preventing discrimination on the basis of either sex or sexual orientation, it is not known how this applies to those who have not had, or will not have, gender reassignment surgery.[Human Rights Commission: "Human Rights in New Zealand Today – New Zealand Action Plan for Human Rights. August 2004. P.92]
Northern Mariana Islands
Transgender persons in the Northern Mariana Islands may change their legal gender following sex reassignment surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associat ...
and a name change. The ''Vital Statistics Act of 2006'', which took effect in March 2007, states that: "Upon receipt of a certified copy of an order of the CNMI Superior Court indicating the sex of an individual born in the CNMI has been changed by surgical procedure and whether such individual's name has been changed, the certificate of birth of such individual shall be amended as prescribed by regulation."
Samoa
In Samoa crimes motivated by sexual orientation and/or gender identity are criminalized under Section 7(1)(h) of the ''Sentencing Act 2016''.
Table and world map of legal status
Some of the data are provided by Spartacus Gay Travel Index and highlights the legal status of gender identity change and expression.
See also
* Gender diversity
Gender diversity is equitable representation of people of different genders. It most commonly refers to an equitable ratio of men and women, but also includes people of non-binary genders. Gender diversity on corporate boards has been widely ...
* Gender self-identification
Gender self-identification or gender self-determination is the concept that a person's legal sex or gender is determined by their gender identity, without medical or judicial requirements.
It is a major goal of the transgender rights movement. Ad ...
* Gender Public Advocacy Coalition—Defunct US advocacy group working to end discrimination and violence caused by gender stereotypes by changing public attitudes, educating elected officials, and expanding human rights
* Human rights
Human rights are universally recognized Morality, moral principles or Social norm, norms that establish standards of human behavior and are often protected by both Municipal law, national and international laws. These rights are considered ...
* ''Legal Precedent
Precedent is a judicial decision that serves as an authority for courts when deciding subsequent identical or similar cases. Fundamental to common law legal systems, precedent operates under the principle of ''stare decisis'' ("to stand by thin ...
'' (2009), Right to change legal names female to male and vice versa for people transgender
A transgender (often shortened to trans) person has a gender identity different from that typically associated with the sex they were sex assignment, assigned at birth.
The opposite of ''transgender'' is ''cisgender'', which describes perso ...
and intersex
Intersex people are those born with any of several sex characteristics, including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical binar ...
by the approval of the 2008 Constitution of Ecuador
* Legal recognition of non-binary gender
Multiple countries legally recognize non-binary or third gender classifications. These classifications are typically based on a person's gender identity. In some countries, such classifications may only be available to intersex people, born with ...
* LGBT people in prison
* LGBT rights by country or territory
Rights affecting lesbian, gay, bisexual, transgender and queer (LGBTQ) people vary greatly by country or jurisdiction—encompassing everything from the legal recognition of same-sex marriage to the death penalty for homosexuality.
Not ...
—including gender identity/expression
* List of transgender-related topics
The following outline is provided as an overview of and topical guide to transgender topics.
The term "transgender" is multi-faceted and complex, especially where consensual and precise definitions have not yet been reached. While often the be ...
* List of transgender-rights organizations
* Right to personal identity The right to personal identity is recognised in international law through a range of declarations and conventions. From as early as birth, an individual's identity is formed and preserved by registration or being bestowed with a name. However, perso ...
* Transgender asylum seekers
Transgender asylum seekers are transgender people seeking refuge in another country due to stigmatization or persecution in their home countries. Transgender people oftentimes flee due to dangerous living conditions and discrimination.
Because ...
* Transgender inequality
Transgender inequality is the unequal protection received by transgender people in work, school, and society in general. Transgender people regularly face transphobic harassment. Ultimately, one of the largest reasons that transgender people face ...
* Transgender rights movement
The transgender rights movement is a movement to promote the legal status of transgender people and to eliminate discrimination and violence against transgender people regarding housing, employment, public accommodations, education, and health c ...
* Transitioning (transgender)
Gender transition is the process of Gender affirmation, affirming and Gender expression, expressing one's Gender identity, internal sense of gender, rather than the sex Sex assignment, assigned to them at birth. It is a recommended course of trea ...
* Yogyakarta Principles
The Yogyakarta Principles is a document about human rights in the areas of sexual orientation and gender identity that was published as the outcome of an international meeting of human rights groups in Yogyakarta, Indonesia, in November 2006. T ...
References
;Notes
;Footnotes
Works cited
* Chow, Melinda. (2005). "Smith v. City of Salem: Transgendered Jurisprudence and an Expanding Meaning of Sex Discrimination under Title VII". ''Harvard Journal of Law & Gender''. Vol. 28. Winter. 207.
*
*
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