2024–2026
Alberta is the only Canadian jurisdiction with a medical restriction on puberty blockers and opposite-sex hormones for minors. There is no federal ban.
Provinces and territories
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- RestrictedLimits on puberty blockers, cross-sex hormones, or surgery for minors.
- No provincial or territorial medical ban is listed.
Alberta AB
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.
Official sources
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.
Official sources
Manitoba MB
Manitoba 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. Manitoba covers the cost through its public health plan.
Official sources
New Brunswick NB
New Brunswick 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. New Brunswick covers the cost through its public health plan.
Official sources
Newfoundland and Labrador NL
Newfoundland and Labrador 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. Newfoundland and Labrador covers the cost through its public health plan.
Official sources
Northwest Territories NT
The Northwest Territories 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. The Northwest Territories covers the cost through its public health plan.
Official sources
Nova Scotia NS
Nova Scotia 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. Nova Scotia covers the cost through its public health plan.
Official sources
Nunavut NU
Nunavut 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. Nunavut covers the cost through its public health plan.
Official sources
Ontario ON
Ontario 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. Ontario covers the cost through its public health plan.
Official sources
Prince Edward Island PE
Prince Edward Island 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. Prince Edward Island covers the cost through its public health plan.
Official sources
Québec QC
Quebec 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. Quebec covers the cost through its public health plan.
Official sources
Saskatchewan SK
Saskatchewan 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. Saskatchewan covers the cost through its public health plan.
Official sources
Yukon YT
Yukon 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. Yukon covers the cost through its public health plan.