Health changes gender classifications of medical procedures to expand access to trans people

Health changes gender classifications of medical procedures to expand access to trans people


The review includes everything from basic and routine tests, such as transvaginal and prostate ultrasound, to more complex treatments, such as those related to uterine and testicular cancer.

OR Ministry of Health announced the review of gender restrictions for 271 procedures in Unified Health System (SUS) as a way to expand access to trans people and transvestites. This means that procedures previously limited to a specific gender can now be performed by both, such as gynecological and urological procedures.

The measure was published in Official Journal of the Union on May 10, with ordinance no. 1,693, which enforces an injunction of the Federal Supreme Court (STF) in the context of the complaint of non-compliance with the fundamental precepts (ADPF), used in situations where a regulatory act is presumed to be in disharmony with the fundamental rights and precepts guaranteed by the Brazilian Constitution.



The list of procedures reviewed includes everything from basic, routine tests, such as transvaginal and prostate ultrasound, to more complex treatments, such as those related to uterine and testicular cancer. Furthermore, the change concerns:

  • Mammography
  • Prenatal consultation
  • Birth (normal or cesarean)
  • Pregnancy test
  • Mastectomy (breast removal)
  • Insertion of the intrauterine device (IUD).

The ADPF was filed by the PT in 2021, during the former president’s rule Jair Bolsonaro. According to the authors of the request, the Bolsonaro administration has harmed the primary health of trans and transvestite people by hindering access to procedures, using definitions that made it difficult, for example, for trans men to undergo mammogram exams when necessary.

For urologist Ubirajara Barroso, who specializes in gender affirmation surgeries, the measure represents an improvement in accessibility for trans people. He points out that, now, a trans woman with prostate problems will no longer be denied treatment for gender reasons, which is a significant achievement.

“Despite persistent prejudices in healthcare facilities, we now have a document that guarantees that both trans women and men have the right to undergo important tests,” emphasizes Barroso

The document also highlights the inclusion of procedures such as “vagina construction” and “penis amputation”, linked to gender affirmation surgery, procedures guaranteed by the SUS since 2008.

Source: Terra

You may also like