Alberta AB
MedicalRestricted
Alberta’s restriction on puberty blockers and cross-sex hormones applies only to children under 16. Youth aged 16 and 17 may still start them if a parent or guardian, a physician, and a psychologist all approve, under Ministerial Order 31/2025. Sex-reassignment surgery on minors has been banned since December 2024. Schools face limits on lessons or social transition.
Last verified: 14 Oct 2026
What the law allows
Medical care for minorsRestricted
Since December 2024, regulated health professionals are prohibited from performing sex-reassignment surgery on minors. As of 7 January 2026, puberty blockers and cross-sex hormones for gender dysphoria or gender incongruence are prohibited for children under 16. Youth aged 16 and 17 may still start them if a parent or guardian, a physician, and a psychologist all approve. A minor who had already started is excepted, as is a disorder of sex development.
Ministerial Order 31/2025; Government of Alberta
Ministerial Order 31/2025
Public coveragePrescribing restriction
Regulated professionals may not prescribe puberty blockers or cross-sex hormones for gender dysphoria or gender incongruence to children under 16. Youth aged 16 and 17 may still start them if a parent or guardian, a physician, and a psychologist all approve. This is a prescribing limit, not a separate public-plan schedule.
Ministerial Order 31/2025
SportsFemale divisions by sex at birth (12 and older)
Since 1 September 2025, female-only divisions for athletes 12 and older are limited to athletes whose sex at birth is female. Sex at birth means the sex on the birth registration document.
Fairness and Safety in Sport Act; Alta. Reg. 124/2025
Fairness and Safety in Sport Regulation, Alta. Reg. 124/2025
Schools — names and pronounsParental notice; consent under 16
If a student asks staff to use a new name or pronouns related to gender identity, the school must notify the parent. Staff may not use that name or those pronouns for a student under 16 unless the parent consents.
Education Act, s. 33.2 (Education Amendment Act, 2024)
Education Act (King's Printer)
Schools — curriculumParental opt-in
Teaching on gender identity, sexual orientation, or human sexuality requires parental opt-in.
Education Act, s. 58.11
Education Act (King's Printer)
Sex definitionDefined for sport
For female-sport eligibility, sex at birth means the sex on the birth registration document. No general statute defining male and female for every provincial law was identified.
Fairness and Safety in Sport Regulation, Alta. Reg. 124/2025
ID documentsBirth record may be amended to M, F, or X
Alberta Vital Statistics may amend the sex indicator on an Alberta birth record to M, F, or X.
Alberta Vital Statistics — sex indicator amendment
AdultsNo provincial ban identified
The surgery prohibition applies to minors. The 2026 prescribing limits apply to children under 16. Ages 16 and 17 may still start puberty blockers or cross-sex hormones if a parent or guardian, a physician, and a psychologist all approve. No provincial ban on adult sex-rejecting procedures was identified.
Government of Alberta — supporting minors
PrisonsPlaced by gender identity
For a federal sentence of two years or more, placement after intake follows gender identity or expression, regardless of anatomy, unless a health or safety problem cannot be resolved. A federal research report looked at 99 offenders recorded as identifying as transgender. The largest group, 62 percent, were trans-identified males. Sixteen percent applied to move to an institution matching their gender identity, and 64 percent of those applications were approved.
CSC Commissioner's Directive 100 (in effect 9 May 2022)
CSC Research Report R-442 (2022), “Examination of gender diverse offenders”, covering offenders recorded from 27 December 2017 to 13 March 2020
LitigationCharter override
A December 2025 law keeps Alberta’s medical, school, and sport rules in force despite listed Charter rights.
Bill 9 (2025); notwithstanding Charter sections 2 and 7 to 15
Key dates2024–2026
December 2024: sex-reassignment surgery on minors prohibited. 1 September 2025: female-sport sex-at-birth rule in force. 11 December 2025: a law keeping the medical, school, and sport rules in force received royal assent. 7 January 2026: the under-16 prescribing limit took effect.
Government of Alberta
Sources
- Ministerial Order 31/2025; Government of Alberta →
- Ministerial Order 31/2025 →
- Fairness and Safety in Sport Act; Alta. Reg. 124/2025 →
- Fairness and Safety in Sport Regulation, Alta. Reg. 124/2025 →
- Education Act, s. 33.2 (Education Amendment Act, 2024) →
- Education Act (King's Printer) →
- Alberta Vital Statistics — sex indicator amendment →
- CSC Commissioner's Directive 100 (in effect 9 May 2022) →
- CSC Research Report R-442 (2022), “Examination of gender diverse offenders”, covering offenders recorded from 27 December 2017 to 13 March 2020 →
- Bill 9 (2025); notwithstanding Charter sections 2 and 7 to 15 →