British Columbia BC

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.

National Post, 29 Sep 2023, reporting Canadian Institute for Health Information data

A person born in British Columbia may ask the registrar general to amend the sex designation on the birth registration. The application includes a declaration that the applicant has assumed, identifies with, and intends to maintain the gender identity that corresponds to the requested designation. A minor needs guardian consent. Under 12, a physician or psychologist statement is also required.

Vital Statistics Act, R.S.B.C. 1996, c. 479, s. 27

A 2015 corrections policy houses people in custody by gender rather than sex. 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