
In 2012, Ontario became the first Canadian province to recognize gender identity in its human rights legislation. This amendment to the Ontario Human Rights Code prohibits discrimination against transgender people. Since then, Canada has passed several laws to protect the rights of transgender and gender-diverse individuals, including Bill C-16, which added gender identity or expression to the Canadian Human Rights Act and the Criminal Code. These laws aim to protect transgender individuals from discrimination in employment, housing, and public services, as well as addressing hate speech and hate crimes. While Canada has made significant progress in transgender rights, there are still variations in the availability of transgender healthcare services and legal gender recognition procedures across provinces and territories.
| Characteristics | Values |
|---|---|
| Transgender rights in Ontario, Canada | Vary among provinces and territories due to Canada's nature as a federal state |
| Gender identity | Linked to an individual's intrinsic sense of self and particularly the sense of being male or female |
| Gender identity in Ontario Human Rights Code | Recognized and protected by law since 2012 |
| Prohibited discrimination against | Employment, housing, and health services |
| Healthcare coverage | All provinces provide coverage for sex reassignment surgery; insurance coverage is not provided for transition-related procedures like facial feminization surgery, tracheal shave, or laser hair removal |
| Bill C-16 | Passed in June 2017, adding "gender identity or expression" to the Canadian Human Rights Act and the Criminal Code of Canada |
| Transgender healthcare clinics in Ontario | Clarke Institute of Psychiatry in Toronto (opened in 1969), Women's College Hospital in Toronto (opened in 2017) |
| Outlawing conversion therapy | A bill outlawing conversion therapy for minors passed unanimously in the Legislative Assembly of Ontario |
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What You'll Learn

Transgender rights in Canada
Canada has a system of universal healthcare that is delivered through provincial healthcare systems, which vary in terms of their benefits and features, including in the area of transgender healthcare. As of 2020, all provinces provided coverage for sex reassignment surgery, such as vaginoplasty, orchiectomy, or phalloplasty. However, insurance coverage is not generally provided for transition-related procedures such as facial feminization surgery, tracheal shave, or laser hair removal. Reproductive services are also not covered for trans people, resulting in high costs.
In 2018, new operations were implemented to accommodate offenders based on gender identity instead of sex assigned at birth. These policy amendments resulted from the combined efforts of The Canadian Human Rights Commission, The Correctional Service of Canada, and Prisoners Legal Services. They include changes such as using an offender's preferred name and pronouns, placing offenders in men's or women's institutions based on gender identity regardless of anatomy, and ensuring the privacy, dignity, and safety of trans or gender-diverse offenders.
In June 2017, Bill C-16 was passed, adding the words "gender identity or expression" to the Canadian Human Rights Act, joining a list of identifiable groups protected from discrimination. It was also added to a section of the Criminal Code that targets hate speech and a section dealing with sentencing for hate crimes. If there is evidence that an offence is motivated by bias, prejudice, or hate, it can be considered during sentencing.
In 2015, the Legislative Assembly of Ontario passed a bill outlawing any attempt to change the gender or sexuality of a person under 18 via therapy. Also in 2015, Manitoban Health Minister Sharon Blady announced plans to ban conversion therapy in the province, stating that it had "no place" in Manitoba's healthcare system.
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Gender identity and expression
In June 2017, Canada passed Bill C-16, which amended the Canadian Human Rights Act and the Criminal Code of Canada. The bill added the terms "gender identity" and "gender expression" to the existing list of groups protected from discrimination, which includes age, race, sex, religion, and disability. This marked a significant step forward in the protection and legal recognition of transgender and gender-diverse communities in Canada.
The Ontario Human Rights Commission defines gender identity as linked to an individual's intrinsic sense of self, particularly the sense of being male or female, which may or may not conform to one's birth-assigned sex. Personal characteristics associated with gender identity include self-image, physical and biological appearance, expression, behaviour, and conduct. The Commission has provided guidance and examples to help understand these terms.
While the Canadian Human Rights Act and the Criminal Code previously protected everyone from discrimination, hate propaganda, and hate crimes based on various grounds, they did not explicitly mention transgender and gender-diverse individuals. Bill C-16 addressed this gap by including "gender identity" and "gender expression," ensuring explicit protection for these communities.
The bill's impact on pronouns has been a topic of discussion. While Bill C-16 does not mention pronouns, a 2014 policy from the Ontario Human Rights Commission (OHRC) states that gender-based harassment can include refusing to use an individual's self-identified name and proper personal pronoun. The OHRC is a provincial body, while Bill C-16 is federal, but the Department of Justice has indicated that the federal guidelines will mirror the OHRC policy.
In addition to federal legislation, transgender rights in Canada are also governed by provincial laws, which can vary across provinces and territories. Ontario, for instance, has amended its Human Rights Code to prohibit discrimination against transgender people, becoming the first province to recognize gender identity in its human rights legislation. This amendment was supported by all three parties in the legislature and celebrated by the transgender community.
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Healthcare and insurance coverage
Ontario's healthcare system covers some gender-affirming surgeries, hormone therapy, and mental health support for transgender, Two-Spirit, and gender non-conforming individuals. The specific procedures covered and the extent of coverage vary among the provinces. As of 2020, all provinces provided coverage for sex reassignment surgery, such as vaginoplasty, orchiectomy, or phalloplasty. However, insurance coverage is not generally provided for transition-related procedures like facial feminization surgery, tracheal shave, or laser hair removal. Additionally, reproductive services for trans individuals are not covered by insurance, and these procedures can be costly.
In Ontario, the Human Rights Commission defines gender identity as linked to an individual's intrinsic sense of self and their sense of being male or female, which may or may not conform to their birth-assigned sex. Discrimination, including harassment, based on gender identity is prohibited in Canada in employment, housing, and public services. This includes protection from discrimination based on the use of pronouns, as outlined in Bill C-16, passed in 2017. The bill added "gender identity or expression" to the Canadian Human Rights Act, recognizing transgender and gender-diverse Canadians as a protected group.
Navigating gender-affirming healthcare coverage in Ontario and Canada, in general, can be complex. It is recommended to research the specific provincial healthcare plan and private insurance options available. Some private insurance providers now offer coverage for gender-affirming care, and some employers provide these benefits as part of compensation packages. It is also advised to connect with organizations that cater to transgender, Two-Spirit, and gender non-conforming individuals for support and resources.
In terms of specific procedures covered by insurance in Ontario, it is essential to check with the provincial healthcare plan and private insurance providers for the most up-to-date and accurate information. However, as mentioned earlier, Ontario does cover some gender-affirming surgeries, hormone therapy, and mental health support. It is worth noting that the process and criteria for health insurance coverage can vary across provinces and territories, and pre-authorization or a letter of medical necessity may be required in some cases.
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Conversion therapy
In Canada, transgender rights and protections from discrimination vary among provinces and territories. In Ontario, the Human Rights Commission defines gender identity as follows:
> "Gender identity is linked to an individual's intrinsic sense of self and, particularly, the sense of being male or female. Gender identity may or may not conform to a person's birth-assigned sex."
Based on this definition, discrimination or harassment based on gender identity is prohibited in the province.
In 2015, a bill was passed unanimously in the Legislative Assembly of Ontario that outlawed any attempt to change the gender or sexuality of a person under 18 via therapy. This bill aimed to protect young LGBTQ+ people, who are especially vulnerable to these conversion therapy practices.
In November 2021, the Canadian government introduced a bill to criminalize conversion therapy practices nationwide. This bill proposed four new Criminal Code offences:
- Causing another person to undergo conversion therapy
- Removing a minor from Canada to subject them to conversion therapy abroad
- Profiting from conversion therapy
- Promoting or advertising conversion therapy
The proposed legislation would also authorize courts to order the seizure of conversion therapy advertisements or their removal from computer systems or the Internet. Conversion therapy is defined as any practice, service, or treatment designed to change a person's sexual orientation to heterosexual, gender identity to cisgender, or gender expression to match the sex assigned at birth. It also includes attempts to repress or reduce non-heterosexual attraction or gender expression that does not conform to the sex assigned at birth.
These legislative efforts to ban conversion therapy in Ontario and across Canada reflect a commitment to protecting the equality and dignity of LGBTQ2 individuals and ensuring that all Canadians can live equally and freely, regardless of their gender expression, gender identity, or sexual orientation.
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Discrimination and hate crimes
At the federal level, Bill C-16, passed in 2017, added "gender identity or expression" to the Canadian Human Rights Act and the Criminal Code of Canada. This amendment ensures that transgender and gender-diverse individuals are explicitly protected from discrimination and hate crimes. It also addresses hate speech and sentencing for hate crimes motivated by bias, prejudice, or hate.
The Ontario Human Rights Commission defines gender identity as linked to an individual's intrinsic sense of self, which may or may not conform to their birth-assigned sex. This definition includes transgender, transgenderist, intersex, and cross-dressing individuals. The Commission's policy states that gender-based harassment can include refusing to refer to a person by their self-identified name and pronoun. While this policy is not legally binding, it provides guidance to human rights tribunals.
The Canadian Human Rights Act and the Criminal Code already protect everyone from discrimination, hate propaganda, and hate crimes based on various grounds, including race, religion, sex, age, and disability. The addition of "gender identity" and "gender expression" to this legislation ensures explicit protection for transgender and gender-diverse individuals.
It is important to note that transgender rights and protections from discrimination vary among provinces and territories in Canada due to its nature as a federal state. While Bill C-16 provides federal protection, each province and territory also has its own human rights laws and approaches to gender identity and expression.
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Frequently asked questions
In 2012, Ontario became the first province in Canada to recognize gender identity in its human rights legislation. An amendment to the Ontario Human Rights Code prohibits discrimination against transgender people.
The Canadian Human Rights Act is a statute enacted by the Parliament of Canada. It states that all individuals should have an equal opportunity to make the lives that they are able and wish to have without being hindered by discriminatory practices.
Asher & Lyric's Global Trans Rights Index ranked Canada third in 2023.
Passed in June 2017, Bill C-16 added "gender identity or expression" to the Canadian Human Rights Act, the Criminal Code of Canada, and a section of the Criminal Code dealing with sentencing for hate crimes.
The Ontario Human Rights Commission defines gender identity as linked to an individual's intrinsic sense of self, particularly the sense of being male or female. Gender identity may or may not conform to a person's birth-assigned sex.











































