Terre-Neuve-et-Labrador

Newfoundland and Labrador has no law restricting puberty blockers, cross-sex hormones or surgeries for minors. Across Canada, Canadian Institute for Health Information data show double mastectomies on minors as young as 14. Newfoundland and Labrador covers the cost through its public health plan.

National Post, 29 Sep 2023, reporting Canadian Institute for Health Information data

Someone 16 or older, born in Newfoundland and Labrador or living there for at least three months, can apply to change the sex designation. The application includes a notarized statement of their gender identity. Under 16, a parent applies and a professional's statement is required. The province warns that a birth certificate marked X may not be accepted elsewhere.

Government of Newfoundland and Labrador — changing sex designation

A male who identifies as a woman can be housed in a women's federal prison, even if his body is male and his identification still says male, unless a health or safety problem cannot be resolved. A federal count of 99 gender-diverse prisoners, from December 2017 to March 2020, found that 62 percent were males who identify as women. At the end of that count, 67 percent of that group were still in men's prisons. Newfoundland and Labrador has no federal women's prison. Women sentenced federally from Newfoundland and Labrador go to Nova Institution for Women in Truro.

CSC Commissioner's Directive 100 (in effect 9 May 2022); CSC research report R-442