According to a Peking University survey, trans-Chinese students are severely discriminated against in many areas of education.  Gender segregation is found everywhere in Chinese schools and universities: student enrollment (for some special schools, universities and majors), appearance standards (including hairstyles and uniforms), private rooms (bathrooms, toilets and dormitories included), physical examinations, military training, conscription, physical education, sports examinations and physical health tests. Chinese students must participate in all activities according to their legal sex characteristic, otherwise they will be punished. It is also difficult to change gender-specific information about education levels and university degrees in China, even after sex reassignment surgery that discriminates against well-educated trans women.   These social, physical and legal changes are called transition. In France, the change of first name can be made by a civil registry office or a court. The sex change can be done by a court. In both cases, there is no need for psychiatric reports or sex reassignment surgery.  The right to recognition as a person before the law is guaranteed by numerous human rights treaties and is a fundamental aspect of affirming the dignity and worth of every person. But even in countries where people can be recognized in the gender with which they identify, the necessary procedures can expose applicants to humiliating and prejudicial treatment. In 2009, the Supreme Court of Pakistan ruled in favour of the transgender community. The landmark decision concluded that as citizens, they are entitled to the equal benefit and protection of the law and called on the Pakistani government to take steps to protect transgender people from discrimination and harassment. Pakistan`s Chief Justice, Iftikhar Chaudhry, was the architect of a significant extension of rights to Pakistan`s transgender community during his tenure.  There are also anti-discrimination laws for the provision of goods and services to transgender or transgender people (known as Khuwaja Sira, formerly Hijra or Third Gender) in Pakistan.   For example, the Irish Gender Recognition Bill 2015 is the product of a 22-year litigation brought by Lydia Foy, a retired dentist. She braved a challenge of legal proceedings and won as a woman in the Irish High Court in 1997 and again in 2007, supported by national and international human rights bodies, who called on Ireland to introduce a gender recognition procedure based on identity and human rights, and not on surgery and expert opinion. Despite constant pressure, it wasn`t until 2015 that the government introduced identity-based legal gender recognition after a landslide victory in a referendum on same-sex marriage. The Yogyakarta Principles state that each person`s self-defined sexual orientation and gender identity “is an integral part of their personality” and a fundamental aspect of self-determination, dignity and freedom. They are aware that gender recognition may involve a change in physical appearance or function by medical, surgical or other means, “if freely chosen (emphasis added). But others say transgender rights should never have been discussed. For example, transgender people in Ukraine who want to be legally recognized must undergo a mandatory psychiatric assessment that lasts up to 45 days to confirm or reject a diagnosis of “transsexuality.” Compulsory sterilization; numerous medical tests, which often require a lot of time, money and travel and are not related to the legal requirements of the gender recognition procedure itself; and a humiliating personal assessment by a government commission to further confirm the diagnosis of “transsexuality” and approve changes to legal documents.
These procedures violate the right to health and may expose transgender people to prohibited inhuman or degrading treatment. Despite these limitations, this study provides one of the first known studies documenting the importance of gender-sensitive health policies in relation to trans people`s experiences of negative emotional responses to gender-based violence and mental health status. The findings support and expand the existing literature on gender affirmation, which postulates that supportive structural environments, including government policies that allow trans people to change their legal gender marker and name, can help reduce experiences of negative emotional responses due to gender-based violence and negative mental health outcomes in trans populations. The implications of this research include removing barriers such as enforcement requirements associated with implementing these strategies, as these barriers are likely to increase health inequalities between transgender populations. Provide resources for transgender children and their families. Transgender children are at higher risk of suicide attempts or mental health problems if they are exposed to bullying, refusal or denial of health care. The Biden administration is releasing several new resources to help transgender children and their parents succeed: The law allows an adult to legally change sex without requirements. Minors aged 16 and 17 may do so with the consent of their parents and a psychological assessment confirming that their decision was made freely and without external pressure. The law also prohibits direct and indirect discrimination based on gender identity, gender expression and sex characteristics, and prohibits non-consensual sex reassignment treatments and/or surgeries on intersex children.  In Peru, transgender people can change their legal gender and name after meeting certain requirements, which may include psychological and psychiatric assessments, medical intervention, or sex reassignment surgery.