Sweden was the first country in to introduce a law on gender recognition. The ability to legally change the gender marker on official identification documents in Sweden has been possible since 1972. However, certain criteria had to be met: one had to be a Swedish citizen and 18 years old, unmarried (having divorced if necessary), have lived for two years as the opposite gender, be sterilized and have undergone
sex reassignment surgery. The law was re-evaluated in 2007, proposing removals of the requirements to be a Swedish citizen, unmarried and sterilized, and presented to the
Christian Democrat Minister for
Health and Social Affairs. The Swedish Discrimination Ombudsman (DO) and the
Swedish Federation for Lesbian, Gay, Bisexual and Transgender Rights inquired about the future of the proposed new law. In January 2013, the Stockholm Administrative Court of Appeal deemed the requirements to be sterilized and undergo
sex reassignment surgery in order to change gender unconstitutional, and the requirement was thus
de facto abolished. In July of the same year, the requirements were removed
de jure as the Riksdag passed an amendment to the law to remove the requirements. Sterilization had been in effect since 1972, and is thought to have been performed on 500 to 800 transgender people. In late March 2018, the
Swedish Parliament approved the move. The compensation amount is 225,000
SEK (some 21,000
euros/27,000
U.S. dollars) per person. In January 2018, the majority of the parties in the Riksdag were interested in researching the possibility of introducing a third legal gender on official documents.
Gender law reform In February 2015, the
Löfven Government introduced two bills. The first one allowing legal gender change without any form of psychiatric or psychological evaluation as well as the need of a diagnosis or any kind of medical intervention. The other one allowing
sex reassignment surgery if the person applying for it submits a positive opinion from a psychiatrist. As of 2019, the bills remained pending and had been the subject of several public consultations. As of August 2020, the bills were still in an early draft form. In November 2021 a new proposal was sent for consideration to various governmental and non-governmental organisations. In July 2022 the government submitted a new law proposal to the
Legislative Council. This proposal changed the requirements in the law for a legal gender change, which in previous drafts had been changed to an administrative process, to still require a simplified medical process. It also includes an increase of the proposed age at which the legal gender can be changed from the previous 12 to 16. the Löfven government planned to present the law for a vote in
the Riksdag after the
election in September, with the law to take force on 1 October 2024. In April 2024, a majority of the Riksdag voted in favor of both bills, with 234 votes in favour and 94 votes against. The new laws are due to take effect on 1 July 2025. Under the approved laws, the minimum age to change legal gender without the requirement of a diagnosis of gender dysphoria was lowered from age 18 to age 16. A statement from a doctor or psychologist on the permanence of the gender identity "for the foreseeable future" and approval from the
National Board of Health and Welfare will still be required. Persons aged 16 and 17 will also need approval of their legal guardians. Surgical procedures of the genitalia will be allowed for those above 18, with removal of the
gonads being limited to those 23 years of age or older without an exceptional reason. Sweden's
Karolinska Institute, administrator of the second-largest hospital system in the country, announced in March 2021 that it would discontinue providing puberty blockers or Gender-Affirming Hormone Therapy to children and teens under 16. Additionally, the Karolinska Institute changed its policy to cease providing puberty blockers or cross-sex hormones to teenagers 16–18, outside of approved clinical trials. On 22 February 2022, Sweden's
National Board of Health and Welfare said that puberty blockers should only be used in "exceptional cases" and said that their use is backed by "uncertain science". However, this new guidance is a recommendation and is not comparable to a ban on the treatments. However, misinformation that Sweden had banned gender-affirming care for minors proliferated on social media and some
Republican politicians in the
United States have used this misinformation to justify their outright bans on the treatments. In 2021, the
Swedish National Board of Health and Welfare reduced the number of clinics allowed to provide gender affirming healthcare from seven to three. Those three clinics have yet to be chosen. ==Discrimination protections==