Sweden

Legal Framework

  • Act (1972:119) concerning Recognition of Legal Gender in Certain Cases
  • Will be replaced by new legislation in July 2025

Competent Authority

National Board of Health and Welfare (Socialstyrelse)

Requirements

  • Must be 18 years or older
  • Must have felt belonging to a different gender for a long time – Must be assumed they will continue to live with this gender in future
  • In practice requires:
    • Diagnosis of transsexualism
    • Medical contact of at least two years
  • No sterilization requirement (abolished 2013)

For children:

  • Custodians may submit applications
  • Children over 12 must provide consent
  • For gonad removal: must be 23+ unless extraordinary reasons exist

Procedure

  • Can apply for both gender affirmative surgery and legal gender change in same form
  • Surgery not possible without prior legal gender change

Decision Type

Administrative decision

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