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世界各地

世界進展

我哋喺全世界都贏緊，一次對話一次，一條法律一條。睇下你嘅國家或者州而家點。

首先 · 美國

美國

逐州總覽 · 聯邦紀錄

2025–2026

美國

醫療混合

好多州已經禁止或者限制拒絕自己性別嘅程序 — 青春期阻斷藥、另一個性別嘅荷爾蒙，同埋想令小朋友睇落似另一個性別嘅手術。2025 年 6 月 United States v. Skrmetti 話呢啲州禁令可以維持。一項聯邦 Medicaid 同兒童保險（CHIP）規則（CMS-2451-F）停止用納稅人嘅錢為未成年人做呢啲程序付款。

打開美國總覽同州網格
Medical status map

click a state for more details.

  • BanStatute in force.
  • RestrictionNarrower than a total ban.
  • Litigation-setbackBan or limit was enacted, then a court blocked it. The statute is on the books; it is not enforced.
  • Proposed billA bill has been introduced. It is not law yet.
  • No banNo statewide medical ban. Shield laws, if any, are in the state summary.
United States map colored by pediatric medical-transition statusEach state uses the same Ban, Restriction, Litigation-setback, Proposed bill, and No ban colors as the alphabetical cards. No ban is solid light gray. Proposed bill is that gray with white stripes. Some No ban states also have a shield law — that detail is on the state card, not a second map color. Litigation-setback states are paper with blue diagonal stripes: a ban or limit was enacted, then a court blocked it. District of Columbia is labeled in an inset. Click a state to jump to its note.Alabama — BanAlaska — No banArizona — RestrictionArkansas — BanCalifornia — No banColorado — No banConnecticut — No banDelaware — No banDistrict of Columbia — No banFlorida — BanGeorgia — RestrictionHawaii — No banIdaho — BanIllinois — No banIndiana — BanIowa — BanKentucky — BanLouisiana — BanMaine — No banMaryland — No banMassachusetts — No banMinnesota — No banMississippi — BanMissouri — BanNebraska — RestrictionNevada — No banNew Hampshire — BanNew Mexico — No banNew York — No banNorth Carolina — BanNorth Dakota — BanOhio — BanOklahoma — BanOregon — No banRhode Island — No banSouth Carolina — BanSouth Dakota — BanTennessee — BanTexas — BanUtah — BanVermont — No banVirginia — No banWashington — No banWest Virginia — BanWisconsin — No banWyoming — BanKansas — Litigation-setbackMichigan — Proposed billMontana — Litigation-setbackNew Jersey — Proposed billPennsylvania — Proposed billDistrict of Columbia — No banDC

跳去一個州

  • 禁令 · 22
  • 限制 · 3
  • 訴訟受挫 · 2
  • 法案提案 · 3
  • 冇禁令 · 21

跳去一個州

一個 A–Z 網格：全部 50 個州同 D.C.。顏色係醫療狀態。有完整來源嘅卡喺總覽。

世界

官方醫療同學校政策 — 一個國家一個國家。撳一個國家睇來源。

World medical status map

click a country for more details.

  • BanStatute in force.
  • RestrictionNarrower than a total ban.
  • MixedNo one nationwide medical rule.
  • Proposed billA bill has been introduced. It is not law yet.
  • No banNo medical ban.
World map colored by official pediatric medical statusCountries use Ban (dark blue), Restriction (blue), Mixed (paper with blue diagonal slashes), Proposed bill (gray with white stripes), and No ban (solid gray). The United States paints Mixed. Click a country for that write-up.Afghanistan — No banAlbania — RestrictionAlgeria — No banAngola — No banArmenia — No banAustria — No banAzerbaijan — No banBahamas — No banBangladesh — No banBelarus — RestrictionBelgium — No banBelize — No banBenin — No banBhutan — No banBolivia — No banBosnia and Herzegovina — No banBotswana — No banBrunei — No banBulgaria — No banBurkina Faso — No banBurundi — No banCambodia — No banCameroon — No banCentral African Republic — No banChad — No banChina — No banCôte d'Ivoire — No banCroatia — No banCuba — No banCyprus — No banCzechia — No banDemocratic Republic of the Congo — No banDenmark — RestrictionDjibouti — No banDominican Republic — No banEgypt — RestrictionEl Salvador — No banEquatorial Guinea — No banEritrea — No banEstonia — RestrictionEswatini — No banEthiopia — No banFiji — No banFinland — RestrictionGabon — No banGambia — No banGeorgia — BanGhana — No banGreece — No banGreenland — No banGuatemala — No banGuinea — No banGuinea-Bissau — No banGuyana — No banHaiti — No banHonduras — No banHungary — No banIceland — No banIndonesia — No banIran — No banIraq — BanIreland — No banIsrael — No banItaly — RestrictionJamaica — No banJapan — No banJordan — BanKazakhstan — RestrictionKenya — No banKosovo — No banKuwait — BanLaos — No banLatvia — No banLebanon — No banLesotho — No banLiberia — No banLibya — No banLithuania — No banLuxembourg — No banMadagascar — No banMalawi — No banMalaysia — RestrictionMali — No banMauritania — No banMexico — No banMoldova — No banMongolia — No banMontenegro — No banMorocco — No banMozambique — No banMyanmar — No banNamibia — No banNepal — No banNetherlands — No banNicaragua — No banNiger — No banNigeria — No banNorth Korea — No banNorth Macedonia — No banNorway — RestrictionOman — BanPalestine — No banPanama — No banPapua New Guinea — No banParaguay — No banPhilippines — No banPoland — No banPuerto Rico — BanQatar — No banRepublic of the Congo — No banRomania — No banRussia — BanRwanda — No banSaudi Arabia — RestrictionSenegal — No banSerbia — RestrictionSierra Leone — No banSlovakia — No banSlovenia — No banSolomon Islands — No banSomalia — No banSouth Africa — No banSouth Korea — No banSouth Sudan — No banSri Lanka — No banSudan — No banSuriname — No banSweden — RestrictionSwitzerland — No banSyria — No banTaiwan — No banTajikistan — No banTanzania — No banThailand — RestrictionTimor-Leste — No banTogo — No banTrinidad and Tobago — No banTunisia — No banTurkey — RestrictionTurkmenistan — No banUganda — No banUkraine — No banUnited Arab Emirates — BanUnited Kingdom — RestrictionUruguay — No banUzbekistan — No banVanuatu — No banVenezuela — No banVietnam — RestrictionYemen — No banZambia — No banZimbabwe — No banArgentina — MixedAustralia — MixedBrazil — MixedCanada — MixedChile — MixedColombia — Proposed billCosta Rica — Proposed billEcuador — Proposed billFrance — MixedGermany — MixedIndia — MixedKyrgyzstan — Proposed billNew Zealand — MixedPakistan — MixedPeru — Proposed billPortugal — Proposed billSpain — MixedUnited States — MixedAndorra — RestrictionAntigua and Barbuda — No banBahrain — No banBarbados — No banCabo Verde — No banComoros — No banDominica — No banFrench Guiana — No banGrenada — No banHong Kong — RestrictionKiribati — No banLiechtenstein — No banMaldives — No banMalta — No banMarshall Islands — No banMauritius — No banMicronesia — No banMonaco — No banNauru — No banPalau — No banSaint Kitts and Nevis — No banSaint Lucia — No banSaint Vincent and the Grenadines — No banSamoa — No banSan Marino — No banSão Tomé and Príncipe — No banSeychelles — No banSingapore — RestrictionTonga — No banTuvalu — No banVatican City — Restriction

Dots are listed countries too small for an outline.

中東

官方醫療同學校政策 — 一個國家一個國家。撳一下睇來源。

下面嘅國家卡 →

美洲

官方醫療同學校政策 — 一個國家一個國家。撳一下睇來源。

United States

醫療混合

2025–2026

Many states banned or limited sex-rejecting procedures for minors, the Supreme Court said those state bans may stand, and a federal Medicaid rule cuts funding for those procedures on minors.

官方來源

Mixed: there is no nationwide ban; state law is a patchwork. Skrmetti lets state bans stand; CMS-2451-F is a Medicaid/CHIP funding rule.

  • Puerto Rico

    醫療禁止咗

    Puerto Rico bans puberty blockers, hormones, and surgeries for gender dysphoria under 21.

    打開 Puerto Rico →

打開總覽 →

Uruguay

醫療肯定治療學校學校入面嘅 CSE

2026

Uruguay’s trans law gives a statutory right to hormones and surgery, including for minors with a legal representative’s consent for irreversible genital surgery.

官方來源

Ley 19.684 gives a statutory right to hormones and surgery, including for minors with a legal representative’s consent for irreversible genital surgery.

睇完整更新 →

加勒比

Antigua and Barbuda

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

Saint Kitts and Nevis

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

Saint Vincent and the Grenadines

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

歐洲

官方醫療同學校政策 — 一個國家一個國家。撳一下睇來源。

Belarus

醫療受限制

2010–2025

Belarus only runs official sex-change/correction for adults in state facilities.

官方來源

Restricted: MoH Resolution 163 (9 December 2010, as amended) is an adult-only state pathway — hormones and/or surgery after an interdepartmental commission. Not an all-ages prohibition like Russia 386-FZ.

睇完整更新 →

Croatia

醫療肯定治療

2016

Croatia’s 2016 ministry guidelines allow puberty blockers from early puberty (Tanner stage 2).

官方來源

Ministry of Health expert guidelines (NN 7/2016) set the WPATH (the World Professional Association for Transgender Health)-aligned pathway, including hormones for people with gender dysphoria.

睇完整更新 →

Denmark

醫療受限制學校學校入面嘅 CSE

2023

Denmark is tightening clinical guidance on puberty blockers; there is no legislative ban.

官方來源

Restricted: Sundhedsstyrelsen is revising 2018 clinical guidance toward psychosocial support first — a clinical limit, not a legislative ban.

睇完整更新 →

Estonia

醫療受限制學校學校入面嘅 CSE

2023–2025

The Social Ministry–funded hormone guideline requires adulthood before opposite-sex hormones.

官方來源

Restricted: the Social Affairs Ministry-funded hormone guideline requires adulthood (täisealisus) before hormones for sex-rejecting procedures.

睇完整更新 →

Georgia

醫療禁止咗學校學校禁止

2024

Georgia forbids surgery or other medical manipulation to assign a sex different from biological sex, for people of any age.

官方來源

Officially banned: Family Values law Article 6 forbids surgery or other medical manipulation to assign a different sex (all ages). Not the U.S. state. Art. 6 has no carve-out that leaves puberty blockers legal.

睇完整更新 →

Greece

醫療肯定治療學校學校入面嘅 CSE

2017–2021

Law 4491/2017 lets a person from age 15 change the registered sex after an interdisciplinary medical committee.

官方來源

Law 4491/2017 lets a person from 15 correct the registered sex marker after an interdisciplinary medical committee.

睇完整更新 →

Latvia

醫療肯定治療學校學校入面嘅 CSE

2013–2024

Latvia does not perform surgical sex-change on minors.

官方來源

Civil-registry sex-marker change requires a medical certificate of sex change. The national children’s hospital has documented puberty blockers for diagnosed adolescents.

睇完整更新 →

North Macedonia

醫療肯定治療學校學校限制

2013–2025

The health ministry’s 2013 guideline sets an official adult-framed pathway for hormones and surgery.

官方來源

The 2013 Ministry of Health evidence-based-medicine guideline on transsexualism is official medical-pathway guidance, framed for adult sex-change treatment.

睇完整更新 →

Spain

醫療混合學校學校入面嘅 CSE

2026

A Valencian rule on puberty blockers for minors is in court.

官方來源

Mixed: Valencia’s 2025 Ley 8/2017 amendments sit under Constitutional Court suspension.

  • Catalonia

    醫療冇禁令學校學校入面嘅 CSE

    No official pediatric medical policy listed.

    打開 Catalonia →

  • Spain (Valencia)

    醫療法庭暫緩

    Valencia passed regional rules on puberty blockers for minors; Spain’s Constitutional Court paused them.

    打開 Spain (Valencia) →

睇完整更新 →

Vatican City

醫療受限制學校學校限制

2024

Holy See teaching in Dignitas Infinita rejects gender theory and sex-change interventions.

官方來源

Restricted: Dignitas Infinita §§55–60 rejects gender theory and sex-change interventions. Disorders of sex development (DSD) correction is named separately.

睇完整更新 →

大洋洲

官方醫療同學校政策 — 一個國家一個國家。撳一下睇來源。

Australia

醫療混合

2025–2028

Queensland and the Northern Territory paused new public-hospital treatment for minors.

官方來源

Mixed: the federal NHMRC is writing national under-18 gender-dysphoria guidelines. Queensland and the NT paused public-system puberty blockers and opposite-sex hormones; other states and territories still run public clinic pathways. Those cards sit on the Australia hub.

  • Australian Capital Territory

    醫療肯定治療

    The ACT’s paediatric service offers puberty blockers and hormones where it judges that appropriate.

    打開 Australian Capital Territory →

  • New South Wales

    醫療肯定治療學校學校入面嘅 CSE

    NSW Health’s specialist service offers puberty blockers and opposite-sex hormones to minors where it judges that clinically appropriate.

    打開 New South Wales →

  • Northern Territory

    醫療受限制

    The Northern Territory paused public-system puberty blockers and opposite-sex hormones under 18.

    打開 Northern Territory →

  • Queensland

    醫療受限制

    Queensland paused new public-system puberty blockers and hormones.

    打開 Queensland →

  • South Australia

    醫療肯定治療

    South Australia commissioned a statewide gender-diversity model of care.

    打開 South Australia →

  • Tasmania

    醫療肯定治療

    Tasmania lists a public Gender Service under child and youth health.

    打開 Tasmania →

  • Victoria

    醫療肯定治療學校學校入面嘅 CSE

    Victoria’s public service assesses under-16s and offers puberty blockers and opposite-sex hormones.

    打開 Victoria →

  • Western Australia

    醫療肯定治療

    Western Australia’s public system still assesses teenagers for medical intervention.

    打開 Western Australia →

打開總覽 →

Marshall Islands

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

New Zealand

醫療法庭暫緩學校學校入面嘅 CSE

2026

The High Court set aside the 2025 puberty blocker regulations. No national restriction is in force.

官方來源

Court suspension: the High Court set aside the 2025 puberty blocker regulations on 21 October 2026 ([2026] NZHC 3248). No national restriction is in force. The government is seeking advice on next steps; NZ First wants an appeal.

睇完整更新 →

Papua New Guinea

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

Solomon Islands

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

亞洲

官方醫療同學校政策 — 一個國家一個國家。撳一下睇來源。

Japan

醫療肯定治療

2003–2022

Japan’s psychiatry society still permits puberty blockers from Tanner 2 and, in defined cases, opposite-sex hormones before 18.

官方來源

The Japanese Society of Psychiatry and Neurology fifth-edition guideline still permits puberty blockers from Tanner 2 and, in defined cases, opposite-sex hormones before 18.

睇完整更新 →

Kyrgyzstan

醫療法案提案學校學校限制

2023–2026

A Jogorku Kenesh first-reading bill (4 June 2026) would ban opposite-sex hormones and surgery to change sex, except congenital DSD. It is not yet law.

官方來源

Proposed bill: Jogorku Kenesh first reading 4 June 2026. The bill would ban opposite-sex hormones and surgery to change sex, except congenital DSD. It is not yet law.

睇完整更新 →

Malaysia

醫療受限制

2026

Malaysia’s official public-hospital pathway is disorders of sex development (DSD) correction through a national technical committee.

官方來源

Restricted: Pekeliling Ketua Pengarah Kesihatan 1/2026 sets the official public-hospital pathway as disorders of sex development (DSD) correction through a national technical committee.

睇完整更新 →

Singapore

醫療受限制

2025–2026

MOH does not recommend puberty blockers for gender dysphoria. Hormones and surgery should not be offered under 18.

官方來源

Restricted: MOH does not recommend puberty blockers for gender dysphoria. Hormones and surgery should not be offered under 18.

睇完整更新 →

Uzbekistan

醫療肯定治療

1998

Civil-registry sex-marker change needs a health-authority conclusion.

官方來源

Civil-registry sex-marker change is allowed only on the conclusion of health authorities (Family Code Art. 229).

睇完整更新 →

中東

官方醫療同學校政策 — 一個國家一個國家。撳一下睇來源。

Iran

醫療肯定治療

2013–2025

Iran allows official sex-reassignment while criminalizing homosexuality.

官方來源

State-sanctioned sex-reassignment (Khomeini-era fatwa lineage; Legal Medicine Organization and family-court process) sits beside Islamic Penal Code criminalization of same-sex acts; the UK Home Office CPIN documents conversion pressure.

睇完整更新 →

Iraq

醫療禁止咗學校學校限制

2024

Federal Iraq forbids changing biological sex based on personal desire.

官方來源

Banned: Law 15/2024 Art. 2 Third forbids changing biological sex based on personal desire; disorders of sex development (DSD) surgery only after a court order and Ministry of Health instructions.

睇完整更新 →

Kuwait

醫療禁止咗

2020

Kuwait forbids operations aimed at changing sex except committee-approved correction when a baby’s sex development didn’t follow the usual path (DSD).

官方來源

Banned: Law 70/2020 Art. 19 forbids operations, surgeries, and medical interventions that would change a person’s sex; disorders of sex development (DSD) correction in ministry hospitals only.

睇完整更新 →

Saudi Arabia

醫療受限制

1986–2014

Saudi Ministry of Health informed-consent guidelines list sex changes among forbidden procedures.

官方來源

Restricted: Civil Status Law executive regulation Art. 39 allows a sex-marker change only for medical reasons after a Ministry of Health committee report.

睇完整更新 →

Turkey

醫療受限制

2025

Turkey’s medicines agency told doctors not to prescribe testosterone, puberty blockers, or listed oestrogens to change sex under 21.

官方來源

Restricted: TITCK/MoH under-21 bar on prescribing testosterone, puberty blockers (GnRH analogues), and ≥2 mg oestrogen for sex-change / gender-incongruence transition. Other medical indications remain. TTB confirms by suing to annul it.

睇完整更新 →

非洲

官方醫療同學校政策 — 一個國家一個國家。撳一下睇來源。

Central African Republic

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

Democratic Republic of the Congo

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

Egypt

醫療受限制

2003

Egypt forbids sex-change operations except committee-approved correction for conditions where a baby’s sex development didn’t follow the usual path (DSD).

官方來源

Restricted: MoH Res. 238/2003 Art. 43 is a medical-ethics rule forbidding sex-change operations; syndicate-approved sex-correction for disorders of sex development (DSD) only. Not a parliamentary statute.

睇完整更新 →

Equatorial Guinea

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

Republic of the Congo

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

São Tomé and Príncipe

醫療冇禁令

2026

而家冇數據。如果你有官方更新，請經聯絡電郵我哋。

睇完整更新 →

呢啲標籤係咩意思

醫療

  • 禁令（美國）／禁止咗（國家） — 法律或者規則阻止醫生畀小朋友藥物或者手術，去拒絕自己嘅性別
  • 限制（美國）／受限制（國家） — 唔係完全停止。醫療受限制（只限研究、只限公立醫院，或者罕有例外）
  • 訴訟受挫 — 禁令通過咗，跟住法庭將佢擱置（美國地圖：藍色間條）
  • 冇禁令 — 冇列出官方禁令或者限制（地圖：淺灰）。如果卡話冇數據，呢個唔係小朋友正被畀藥或者做手術嘅證據
  • 肯定治療 — 引用嘅來源顯示，佢哋稱為肯定治療嘅做法發生緊，或者官方政策支持呢套做法
  • 混合 — 冇一條全國統一嘅醫療規則
  • 檢討中 — 官員檢討緊證據
  • 法案提案 — 法案已經提出；仲未係法律。卡會寫出法案名稱
  • 法庭暫緩 — 有呢條規則，但係法庭暫停咗佢

學校

  • 學校禁止／學校限制 — 官方學校限制（唔係醫療）
  • 學校提案 — 學校法案，仲未係學校法律
  • 學校混合 — 官方學校來源指向多過一個方向
  • 學校被法庭推翻 — 法庭推翻咗一條學校法律
  • 學校入面嘅 CSE — 強制或者擴大嘅全面性教育（廣泛嘅性教育課，好多時包括性別意識形態）

詞語

  • DSD — 嬰兒嘅性別發育冇跟平常路徑嘅狀況。有啲法律仍然容許對呢啲狀況做醫學矯正 — 唔係為咗「性別認同」而做嘅變性
  • 青春期阻斷藥 — 阻斷小朋友青春期嘅藥
  • 拒絕自己性別嘅程序 — 青春期阻斷藥、另一個性別嘅荷爾蒙，同埋想令小朋友睇落似另一個性別嘅手術

醫療規則同學校規則係分開嘅。

呢個網站嘅饋贈令街頭工作可以繼續。佢哋唔係 501(c)(3) 捐款。要美國報稅收據嘅饋贈，經 We Speak Truth。

訂閱。接收更新。

消息、法律上嘅勝利，同講出真相嘅工具 — 一次對話一次。

揀每日消息更新、每週匯總，或者兩個都要。

電郵頻率

揀一個或者兩個。