The Ministry of Health published a draft resolution according to which only five organizations will be able to issue permits for operations to change gender markers for minors.
According to the draft, permission for such operations will be issued in the presence of developmental anomalies and diseases “associated with violation of the formation of genital organs in children.”
The decision will be made by a medical commission consisting of an obstetrician-gynecologist, geneticist, pediatric urologist-andrologist, pediatric endocrinologist, pediatrician, child psychiatrist and medical psychologist. “If necessary, the medical commission may additionally include doctors from other specialties of the federal medical organization,” says the draft resolution.
The list of organizations that will be able to issue such documents includes the National Medical Research Center (NMRC) endocrinology, National Medical Research Center for Children's Health, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after. Academician V.I. Kulakov, Russian National Research Medical University named after. N.I. Pirogova and St. Petersburg State Pediatric Medical University.
According to the text of the explanatory note, the resolution may come into force on March 1, 2024. The project is now at the discussion stage.
In July, the State Duma finally adopted a bill banning operations related to transgender transition; the document was later signed by Vladimir Putin. As the authors of the bill noted, “sex reassignment” will not include operations related to the treatment of “congenital anomalies (developmental defects), genetic and endocrine diseases associated with impaired formation of the genital organs in children.” In such cases, operations will be carried out only by decision of state medical commissions.