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ORDER OF THE MINISTER OF HEALTH AND SOCIAL DEVELOPMENT OF THE REPUBLIC OF KAZAKHSTAN

of March 31, 2015 No. 187

About approval of Rules of medical examination and performing sex change for persons with disorders of sexual identification

According to Item 3 of article 88 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" PRIKAZYVAYU:

1. Approve the enclosed Rules of medical examination and performing sex change for persons with disorders of sexual identification.

2. To provide to department of the organization of medical care of the Ministry of health and social development of the Republic of Kazakhstan:

1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

2) within ten calendar days after state registration of this order in the Ministry of Justice of the Republic of Kazakhstan the direction on official publication in periodic printing editions and information system of law of Ad_let;

3) placement of this order on Internet resource of the Ministry of health and social development of the Republic of Kazakhstan.

3. To impose control of execution of this order on the vice-Minister of health and social development of the Republic of Kazakhstan Tsoi A. V.

4. This order becomes effective after ten calendar days after day of its first official publication.

Minister

T. Duysenova

Approved by the Order of the Minister of health and social development of the Republic of Kazakhstan of March 31, 2015 No. 187

Rules of medical examination and performing sex change for persons with disorders of sexual identification

1. General provisions

1. These rules of medical examination and performing sex change with disorders of sexual identification (further - Rules) are developed for persons according to Item 3 of article 88 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" and determine procedure for medical examination and performing sex change for persons with disorders of sexual identification.

2. In these rules the following basic concepts are used:

1) change of social (passport) floor - the replacement of identity documents connected with change of morphological (biological) floor;

2) social and psychological adaptation of persons with disorders of sexual identification - set of the actions of medical, psychological and social nature directed to simplification of process of social adaptation of person with disorder of sexual identification;

3) disorder of sexual identification (transseksualizm) - feeling of own belonging to opposite sex, desire to live and be apprehended as person of opposite sex, usually combined with feeling of inadequacy or discomfort from the morphological (biological) floor and desire to receive hormonal, surgical treatment, with the purpose to make the body as much as possible corresponding to the chosen floor;

4) medical actions for change of morphological (biological) floor - medical intervention (hormonal therapy, surgical correction) of which change of morphological (biological) floor is result;

5) sex change - change of the morphological (biological) sex defined by structure of external and internal genitals and caused by the level and the dominating orientation of hormonal impacts.

2. Procedure for carrying out physical examinations and medical examination

3. Person wishing to change sex files the written application in the psychiatric organization for the residence.

The statement is adopted from the citizens who reached 21-year age and is considered according to the Law of the Republic of Kazakhstan of January 12, 2007 "About procedure for consideration of appeals of physical persons and legal entities".

4. Sex change requires holding the following events:

1) physical examination of person wishing to change sex.

Physical examination according to the List of the analyses and medical documents necessary for passing of medical examination of persons with disorders of sexual identification according to appendix 1 to these rules is carried out in the conditions of hospital of the psychiatric organization within 30 calendar days, and includes researches of mental, neurologic and somatic condition;

2) the direction of person wishing to change sex on the Commission on medical examination of persons with disorders of sexual identification (further - the Commission) created in the Republican scientific and practical center of psychiatry, psychotherapy and narcology of the Ministry of health and social development of the Republic of Kazakhstan;

3) pronouncement by the Commission of the conclusion about opportunity (impossibility) holding medical actions for hormonal therapy (further - the first stage) medical actions for sex change by results of physical examination and medical examination of person wishing to change sex;

4) carrying out the first stage in case of adoption by the Commission of the decision on possibility of carrying out the first stage.

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