Individuals wishing to be gender-reassigned must undergo gender reassignment surgery.
Surgical gender reassignment involves medical procedures aimed at changing a person's gender through surgery. Surgical gender reassignment is not necessary for an official change of gender.
Surgical procedures aimed at changing sex may be performed on a patient who has been clearly diagnosed with gender identity disorder and has demonstrated the ability to live permanently as a person of the opposite sex. The patient must also not be married, in a partnership or registered partnership, or in a similar same-sex union concluded abroad, or must prove that their marriage, partnership, registered partnership, or similar union has ended.
Gender reassignment surgery is performed on the basis of a written request from a patient who has reached the age of 18, a positive opinion from the expert committee of the Ministry of Health, and, in the case of a patient with limited legal capacity, also the consent of the court.
Surgical procedures aimed at gender reassignment may be performed if the patient or the patient's guardian has given their written consent immediately prior to the procedure.