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Efforts to ban conversion therapy gain traction around the world

Global Equality Caucus lawmakers play prominent role

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Members of the Global Equality Caucus in Latin America meet with Victor Madrigal-Borloz, the independent U.N. expert on LGBTQ and intersex issues, in November. (Photo courtesy of Global Equality Caucus)

Efforts to ban so-called conversion therapy gained significant traction around the world in 2022.

Only four countries at the end of 2021 had explicit laws that banned the widely discredited practice. Numerous jurisdictions around the world in 2022 have enacted legislation or taken executive action. The Global Equality Caucus, an international network of lawmakers who have committed themselves to fight discrimination based on sexual orientation and/or gender identity, has driven many of these efforts.

Global Equality Caucus Vice President Tamara Adrián, who is also the first openly transgender woman elected to the Venezuelan National Assembly, told Washington Blade that “any compulsive therapy to modify sexual orientation is contrary to human rights. Subjecting a person to conversion therapy will be unsuccessful and can create very serious mental health problems, as these therapies use invasive behavioral methods to try to modify sexual orientation.”

“The consequence is that no one modifies their sexual orientation but may become unable to have relationships with any person and that is the reality in this matter. They are a mechanism intended to erase LGBT people from the earth,” Adrián added. 

Tamara Adrián, the first openly transgender woman elected to the Venezuelan National Assembly, speaks at the LGBTQ Victory Fund’s International LGBTQ Leaders Conference in D.C. on Dec. 3, 2022. (Washington Blade photo by Michael K. Lavers)

Canada and France in January introduced LGBTQ-inclusive bills to ban conversion therapy for minors and adults, regardless of perceived “consent,” in clinical and religious settings. Anyone found guilty of offering or practicing conversion therapy is subject to a fine or jail time.

New Zealand in February passed the Conversion Practices Prohibition Act with the same breadth of protections as Canada and France. And in May 2022, following an amendment to the Health for All Act, lawmakers in Greece passed measures explicitly prohibiting conversion therapy for persons under 18 and “non-consenting” adults.

A law that lawmakers in the Australian state in Victoria passed in 2021 took effect in February. The law, first proposed in 2020, has been hailed as a model for legislation to ban conversion therapy and certainly inspired New Zealand’s ban.

Several Mexican states also banned conversion practices this year, following the nation’s first prohibition that Mexico City approved in 2020. Lawmakers in Jalisco, Baja California, Puebla, Hidalgo and Sonora states approved measures to ban them.

The British government’s decision to support a trans-exclusive bill to ban conversion therapy prompted advocacy groups to boycott an LGBTQ and intersex rights conference that was to have taken place in London during Pride Month. The conference was later cancelled.

Nick Herbert, a member of the British House of Lords who advised then-Prime Minister Boris Johnson on LGBTQ and intersex issues, is a member of the Global Equality Caucus.

Indirect conversion therapy bans are “when countries do not explicitly prohibit them through legislation, however, they are not allowed from a mental health standpoint,” Global Equality Caucus Membership and Programs Coordinator Erick Ortiz told the Blade. 

Israel’s Health Ministry in February issued a directive that said medical professionals are prohibited from offering, advertising or performing conversion therapy, and those who violate the ban could face punishment. The Knesset in 2020 passed a conversion therapy ban bill, but lawmakers have yet to codify the directive.

India’s National Medical Commission the same month in a filing with the Madras High Court clarified that any licensed medical professional in the country who is found guilty of offering conversion therapy can face prosecution for professional misconduct. India, like Israel, does not explicitly ban the practice throughout the country, but the filing reaffirmed a 2021 court order that prohibits any attempt to “cure or change” the sexual orientation or gender identity of LGBTQ people.

Vietnam’s Health Ministry in 2021 issued guidance to clarify that homosexuality and transgender identities are not considered curable diseases, and that doctors should not engage in coercive treatments that attempt to change someone’s sexual orientation or gender identity.

Paraguay in November joined Argentina and Uruguay in becoming the third South American country to amend its mental health law to prohibit a mental health diagnosis on the basis of “sexual choice or identity.”

Lawmakers in several countries in 2022 introduced bills to ban conversion therapy; but they have not been passed because of legislative processes, timelines and elections. 

Icelandic MP Hanna Katrin Fridriksson, a Global Equality Caucus member, in January introduced a bill in the Althing (Iceland’s Parliament,) but it has not yet progressed. Dutch Sen. Boris Dittrich, helped champion a bill in his country’s Parliament, but it was referred to committee. A bill in Cyprus also reached the committee stage and is likely to be passed in 2023.

The Icelandic Parliament in Reykjavik, Iceland. (Washington Blade photo by Michael K. Lavers)

Former Colombian Congressman Mauricio Toro introduced a bill, but it was not passed before the new Congress took office in July. A group of lawmakers from various political parties have reintroduced the bill.

Norwegian Equality Minister Anette Trettebergstuen introduced a bill proposing a total ban on conversion therapy, going beyond plans the previous government first announced in 2021. Lawmakers are currently reviewing the measure. The Belgian Cabinet has approved a similar proposal, but the lower house of the country’s Parliament has not given its final approval. 

The Mexican Senate after nearly four years of stalemate approved a federal bill after consultations with Yaaj Mexico, an LGBTQ and intersex rights group, and talks at the Global Equality Council summit that took place in Mexico City earlier this year. The measure will take effect once the Mexican Chamber of Deputies approves it, which will likely take effect in 2023.

Several other countries have expressed they support conversion therapy bans, but their governments or congressmen have yet to submit a parliamentary bill. They include the Ireland, Sweden, Finland and some states in Australia. 

Peruvian Congresswoman Susel Paredes will lead a bill to ban conversion therapies in her country 

“Congresswoman Susel Paredes is waiting for the right moment to present the project due to the political problems Peru is facing,” Ortiz said.

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Netherlands

Amsterdam Pride Canal Parade draws hundreds of thousands

Gay Dutch Prime Minister Rob Jetten among participants

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A scene from the 2026 Amsterdam Pride Canal Parade. (Washington Blade photo by Michael Key)

Editor’s note: International News Editor Michael K. Lavers and Photo Editor Michael Key are on assignment in the Netherlands through Aug. 10.

AMSTERDAM — Hundreds of thousands of people lined Amsterdam’s canals on Saturday for the city’s annual Amsterdam Pride Canal Parade.

Dutch Prime Minister Rob Jetten, who is openly gay, is among those who participated in the parade that featured more than 80 boats. Participants held signs and posters that, among other things, read “proud to be intersex” and “lesbians love you and a free Palestine.”

The Washington Blade saw at least two attendees holding fans that read “fuck Trump.” One of the boats also compared President Donald Trump and Russian President Vladimir Putin as “the kissing couple.”

(Washington Blade photo by Michael K. Lavers)

(Washington Blade video by Michael K. Lavers)

(Washington Blade video by Michael K. Lavers)

The parade took place a week after a terrorist attack at Berlin’s Christopher Street Day left one person dead and more than two dozen others injured.

It passed the Homomonument, a memorial to gays and lesbians who have suffered persecution. The Homomonument has been transformed into a makeshift memorial to the victims of the July 25 terrorist attack in the German capital.

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The Canal Parade took place during World Pride, which will end in Amsterdam on Aug. 9.

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European Union

Poland’s top court rejects recognition of same-sex marriages from other EU countries

Ruling sets up potential clash with bloc

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(Bigstock photo)

Poland’s top court this week rejected the recognition of same-sex marriages legally performed in other EU countries.

The EU Court of Justice in Luxembourg last November ruled in favor of a same-sex couple who challenged Poland’s refusal to recognize their German marriage. Poland’s Supreme Administrative Court in March reaffirmed the decision.

The couple, who lives in Poland, brought their case to Polish courts in 2019. The Supreme Administrative Court referred it to the EU Court of Justice.

The Polish government in May announced it will recognize same-sex marriages legally performed in other EU countries. Polish President Karol Nawrocki on July 17 vetoed bills that would have extended rights to same-sex couples.

The Constitutional Tribunal ruling, which it issued on July 28, was unanimous and final. It also sets up a potential clash between it and the EU Court of Justice.

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Taiwan

Taiwan’s government has failed to update process to change gender markers on ID documents

Interior Ministry’s 2008 directive remains in place

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(Photo by bRollGO/Bigstock)

More than four years after Taiwan began formally studying legislation to overhaul its legal gender recognition system, and despite repeated recommendations from international human rights experts, the government has yet to introduce a bill that would replace decades-old administrative rules governing how transgender people can change the gender marker on official documents.

On May 15, an independent international review committee examining Taiwan’s implementation of the International Covenant on Civil and Political Rights and the International Covenant on Economic, Social and Cultural Rights urged the government to enact legislation governing legal gender recognition. The committee said Taiwan’s continued reliance on an administrative order, despite a 2023 Supreme Administrative Court ruling that mandatory gender-affirming surgery violates constitutional rights, has created legal uncertainty for transgender people, administrative authorities and judges.

In Taiwan, legal gender recognition has long been governed by a 2008 Interior Ministry administrative directive rather than legislation. 

Under the directive, applicants seeking to change the gender marker on their national identification documents are generally required to provide diagnoses of gender dysphoria from two psychiatrists and proof that they have undergone gender-affirming surgery. For trans men, this typically involves the removal of the breasts, uterus, and ovaries, while trans women generally must undergo the removal of the penis and testicles. Because these requirements are established through an administrative directive rather than a law enacted by the legislature, trans rights activists and human rights organizations have argued they violate human rights.

Although Taiwanese courts have increasingly allowed trans people to change the gender marker on their official documents without undergoing gender-affirming surgery, the Interior Ministry’s 2008 directive requiring surgery remains in force. As a result, Taiwan’s administrative rules and judicial decisions are no longer fully aligned.

In a landmark ruling in May 2024, the Taipei High Administrative Court ordered a household registration office to approve a trans man’s application to change the gender marker on his household registration without requiring gender-affirming surgery. The court held that the Interior Ministry’s 2008 administrative directive, which requires applicants to submit proof of surgery, cannot be treated as an absolute prerequisite for legal gender recognition. Instead, it found that the applicant had provided sufficient medical evidence of a stable and long-standing gender identity and that denying the application solely because he had not undergone surgery was unlawful.

The Executive Yuan began work on legislation in April 2020, when it decided to commission an academic study examining international legal gender recognition systems rather than immediately drafting a law. 

The government subsequently commissioned Shih Hsin University to prepare a report reviewing foreign legal models and developing legislative recommendations, including a bill. Since 2022, the Executive Yuan has held a series of inter-agency meetings involving multiple ministries to consider the study’s recommendations and legislation governing legal gender recognition, though no bill has yet been enacted.

In September 2023, Taiwan’s Supreme Administrative Court set aside a lower court ruling that had upheld the Interior Ministry’s refusal to change a trans person’s legal gender without proof of surgery and ordered the case to be reheard. 

The court held that the ministry’s 2008 administrative directive requiring surgery could not be treated as the controlling legal standard because it lacked a clear statutory basis and implicated constitutional protections, including bodily autonomy and personality rights. Rather than treating surgery as an automatic prerequisite, the court instructed the lower court to determine whether the applicant had established a stable gender identity based on the evidence presented.

“From our perspective, the primary goal should be lowering the barriers to legal gender recognition, particularly by abolishing the mandatory surgery requirement,” the Taiwan Tongzhi (LGBTQ+) Hotline Association, a nonprofit LGBTQ advocacy and support organization founded in 1998, said in an email to the Washington Blade.

The Taiwan Tongzhi (LGBTQ+) Hotline Association said several factors have stalled progress toward comprehensive legislation. 

The organization told the Blade the complexity of the issue and the lack of constructive dialogue are among the primary obstacles. It said legal gender recognition requires extensive discussion, with views differing even within the trans community itself. The Taiwan Tongzhi (LGBTQ+) Hotline Association added that opinions also vary widely within the legislature and across Taiwanese society, while effective channels for dialogue remain lacking.

The Taiwan Tongzhi (LGBTQ+) Hotline Association also attributed the lack of progress to what it described as a lack of political will and an over reliance on “social consensus.” 

According to the organization, the executive branch lacks the political momentum to advance legal gender recognition reforms. The Taiwan Tongzhi (LGBTQ+) Hotline Association said the Interior Ministry and other relevant agencies have often adopted a passive approach in the face of opposition from conservative groups, delaying progress by arguing that there is no social consensus or that further discussion is needed.

The Taiwan Tongzhi (LGBTQ+) Hotline Association also said progress has been hindered by what it described as a backlash following the legalization of same-sex marriage. According to the organization, groups opposed to gender equality and trans rights, including some conservative religious and anti-trans organizations, shifted their focus to trans issues after marriage equality became law. The Taiwan Tongzhi (LGBTQ+) Hotline Association said these groups have promoted fear-based narratives, including concerns about safety in public restrooms, leading many politicians to view trans rights as a politically risky issue and reducing momentum for legislative action.

“The existing system makes changing one’s legal gender marker extremely difficult. Forced surgical removal of reproductive organs imposes a heavy financial burden since it must be paid out-of-pocket, and not every trans person can afford, desires, or is medically advised to undergo organ removal,” the Taiwan Tongzhi (LGBTQ+) Hotline Association said. “Additionally, requiring psychiatric evaluations is problematic because specialized medical resources are scarce and concentrated in major cities. These obstacles severely impact transgender individuals in their daily lives.”

The Taiwan Tongzhi (LGBTQ+) Hotline Association said the continued reliance on an administrative directive rather than legislation has created systemic uncertainty for trans people. The organization said the absence of a statutory framework allows executive agencies to alter requirements without legislative oversight, leaving trans people uncertain whether future policies will become more restrictive or more permissive. The Taiwan Tongzhi (LGBTQ+) Hotline Association added that while several trans people have secured favorable court rulings since 2023, those decisions apply only to the individual cases before the courts and do not guarantee similar outcomes for others. The group also said pursuing litigation requires significant time, financial resources, and emotional investment, making it an inaccessible path for many trans people seeking legal recognition.

The Executive Yuan and the Interior Ministry did not respond to the Blade’s requests for comment.

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