The Federal Law prohibits medical interventions (including the use of medicines), aimed at changing a person’s gender, including forming sex characteristics of the opposite sex.
The only exception to this rule will be medical interventions related to the treatment of congenital physiological abnormalities (defects), as well as genetic and endocrine diseases caused by structural disorders of the reproductive tract in children. Such interventions will be allowed in accordance with decisions made by medical commissions of medical organisations within the jurisdiction of the Russian Healthcare Ministry.
Based on the results of such medical interventions, medical commissions will issue medical reports on whether sex characteristics of a person are consistent with a particular gender. These reports will be required in order to change vital records.
The list of medical organisations and the procedure for issuing decisions and medical reports will be approved by the Government of the Russian Federation.
According to the Federal Law, amendments to vital records related to gender reassignment by a spouse shall constitute grounds for termination of marriage.
Persons who have changed gender are excluded from those who have the right to be adoptive parents, and they cannot be appointed guardians or trustees (corresponding amendments are made to the Family Code of the Russian Federation).