Click a province or territory for the full record. Summaries here stay short.
Alberta's restriction on puberty blockers and cross-sex hormones applies only to children under 16. Ages 16 and 17 may still start them with parent or guardian, physician, and psychologist approval under the Health Professions Act and Ministerial Order 31/2025. Sex-reassignment surgery on minors under 18 has been banned since December 2024.
MedicalRestrictedSchoolsSchools restriction
Schools: Education Amendment Act, 2024 (Bill 27) — parental notice/consent for name and pronouns; opt-in for gender-identity / sexual-orientation / human-sexuality instruction. Bill 9 shields those school pieces.
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B.C. 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. B.C. covers the cost through its public health plan.
Manitoba 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. Manitoba covers the cost through its public health plan.
New Brunswick 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. New Brunswick covers the cost through its public health plan.
MedicalNo protections for kids
Schools: Policy 713 was revised effective 1 January 2025. The department says the revision changes informal use of a chosen first name and pronouns, and how schools communicate with families.
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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.
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.
Nova Scotia 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. Nova Scotia covers the cost through its public health plan.
Nunavut 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. Nunavut covers the cost through its public health plan.
Ontario 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. Ontario covers the cost through its public health plan.
Prince Edward Island 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. Prince Edward Island covers the cost through its public health plan.
Quebec 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. Quebec covers the cost through its public health plan.
Saskatchewan 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. Saskatchewan covers the cost through its public health plan.
MedicalNo protections for kidsSchoolsSchools restriction
Schools: The Education (Parents’ Bill of Rights) Amendment Act, 2023 (SS 2023, c 46; Bill 137) — parental consent before staff use a new gender-related preferred name or gender identity for a pupil under 16. Notwithstanding clause.
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Yukon 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. Yukon covers the cost through its public health plan.