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The Northwest Territories 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. The Northwest Territories covers the cost through its public health plan.

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

The sex on a Northwest Territories birth certificate can be changed only if the birth was registered there. At 19 or older, the person applies. Under 19, a parent or legal guardian applies.

NWT Health and Social Services — 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. The Northwest Territories has no federal women's prison. Women sentenced federally from the territory go to Edmonton Institution for Women or Okimaw Ohci Healing Lodge.

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