The case was requested by the
Workers' Party in objection to obstacles encountered by transgender people, during the
presidency of Jair Bolsonaro, while attempting to access the country's public healthcare system. • The adaptation of
SUS to allow for exams and appointments of all specialties, regardless of the patient's gender, avoiding bureaucratic procedures that may cause embarrassment or difficulty of access to transsexual persons; • That changes are not restricted to appointments of SUS, but apply to all information systems in the public health network; • That the Ministry of Health inform state and municipal governments of changes made to SUS' systems, and that it also aid in the local systems' transition. In May 2024, in response to the case, the Ministry of Health officially removed gender requirements from 271 medical procedures, including
vasectomies and
childbirth. Ministers
Alexandre de Moraes,
Ricardo Lewandowski and
Rosa Weber all concurred, but voting was halted as
Nunes Marques requested a review of the case. Lewandowski and Weber have both since retired and been replaced by
Cristiano Zanin and
Flávio Dino, respectively; new ministers are usually not expected to recast their seats' vote. Voting resumed with ministers
Edson Fachin and
Dias Toffoli's concurring votes, forming a majority. On 28 June 2024, ministers
Roberto Barroso,
Luiz Fux,
Cármen Lúcia,
Nunes Marques and
André Mendonça all voted with the rapporteur, bringing the Court to a unanimous concurrence. Minister Marques concurred in part, arguing there had been no omission by the State, but that the proposed changes are necessary. Ministers Fachin, Lúcia and Barroso concurred and additionally proposed that the Live Birth Declaration (, DNV) should include the parents' gender identification. == High Court decision ==