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.

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

A person born in Manitoba may apply to change the sex designation on the birth registration. The Vital Statistics Branch lists the options male (M), female (F), and X.

Manitoba Vital Statistics — change of sex designation

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