Gender identity diagnoses quadruple over the past decade

The number of newly diagnosed gender identity disorders in Czechia has more than quadrupled over the past decade, rising from 225 cases in 2013 to 989 in 2023, according to data from the National Register of Covered Services provided by the Health Ministry. About 80% of these were diagnosed as transsexualism.

Since July, legal gender change requires only confirmation from a certified sexologist, dropping previous requirements for hormone treatment and surgery, including sterilization—a rule recently struck down by the Constitutional Court.

While both psychiatrists and sexologists can diagnose, only a sexologist’s confirmation is valid for legal gender recognition. In 2023, 296 men and 484 women received this diagnosis, mostly among those aged 15 to 19, followed by 20 to 24 and 25 to 29, with smaller numbers in other age groups.