Country:

  

Italy

Group:

  

Crisalide AzioneTrans - onlus

A. Legal Issues

A.1. Right of name

Q01:  

What are the mandatory conditions to acquire a legal gender-identity-appropriate first name?

 

         

None

 

Psychotherapeutic treatment

 

Yes

Evaluation by a qualified mental health professional

 

Real life experience

 

Conformation of the outer appearance

 

Yes

Hormone treatment

 

Surgery

 

 

F2M 

 

M2F 

 

Yes

Mastectomy

Breast augmentation

Yes

Hysterectomy

Penectomy

Ovarektomy

Orchidectomy

Phalloplasty

Yes

Vaginoplasty

Others:

Others:

 

Yes

Infertility

 

Yes

Civil status (concurring sex-entry)

 

Yes

Legal proceeding

 

Others:

 

Impossible

 

What is the procedure?

 

you must have a psichiatric certificate with GID diagnosis. With this certiricate you can begin the HRT without any other need. There are some Public Hospitals that follow transgender fromt the beginning to the end of medical transition. After/During HRT, if you want to have new certificates, you MUST go under legal judgement that allows to undergo to SRS (for FtM it is often enaugh mastectomy and hysterectomy). After obtaining the legal authorizations you can put in a "waiting list" for undergoing SRS in a public hospital (free), or you gan go privately. After surgery, if yo want to have a new certificate, you must go again in front of a Judge for having sex and name changed. There is no way to have change of name or sex without SRS in Italy even if law (n. 164/82) doesn't spcify this duty. But there is only one or two cases in Italy in which some judges have given permission without srs, in case of people with mortal diseases.

A.2. Civil Status

Q03: 

What are the mandatory conditions for changing the sex-entry in identity papers like driving licence, passport, identity card?

 

         

None

 

Psychotherapeutic treatment

 

Yes

Evaluation by a qualified mental health professional

 

Real life experience

 

Conformation of the outer appearance

 

Yes

Hormone treatment

 

Surgery

 

 

F2M 

 

M2F 

 

Yes

Mastectomy

Breast augmentation

Yes

Hysterectomy

Penectomy

Ovarektomy

Orchidectomy

Phalloplasty

Yes

Vaginoplasty

Others:

Others:

 

Yes

Infertility

 

Civil status (concurring sex-entry)

 

Yes

Legal proceeding

 

Others:

 

Impossible

 

Which documents can be changed?

 

Identity card, Passport, driving licence, birth certificate

 

Which documents can not be changed?

 

court records and integral birth certificate (that can be asked only by public authority)

 

What is the procedure?

 

after SRS (or mastectomy and Hysterectomy for FtM) you must quest in a court for having the change. It is important to say that italian law doesn't specify a lot so the application of it is based on jurisprudence that is like I've told before

Q02: 

What are the mandatory conditions to obtain full legal recognition in the acquired gender? (Change the sex-entry of the civil status in the corresponding official files.)

 

         

None

 

Psychotherapeutic treatment

 

Yes

Evaluation by a qualified mental health professional

 

Real life experience

 

Conformation of the outer appearance

 

Yes

Hormone treatment

 

Surgery

 

 

F2M 

 

M2F 

 

Yes

Mastectomy

Breast augmentation

Yes

Hysterectomy

Penectomy

Ovarektomy

Orchidectomy

Phalloplasty

Yes

Vaginoplasty

Others:

Others:

 

Yes

Infertility

 

Civil status (concurring sex-entry)

 

Legal proceeding

 

Others:

 

Impossible

 

What is the procedure?

 

There is no difference in Italy between changing "sex" and "name" on certificates. You can have new certificates only after "changing sex" procedures.

 

Which files can never be changed?

 

A.3. Discrimination

Q04:

Are there any laws in your country that provide discrimination on grounds of transgender?

(For example: Inhibition of cross-dressing.)

 

No

 

If yes, which ones?

 

Q05:

Are there any laws in your country against discrimination on grounds of transgender?

 

No

 

If yes, which ones?

 

A.4. Marriage

Q04:

Following a change of sex whilst married, does the law require divorce to obtain full legal recognition of the acquired gender?

 

Yes

A.5. TransGender Law

Q07:

Is there a specific transgender- or transsexual-law in your country?

(For example: Inhibition of cross-dressing.)

 

Yes

 

If yes, what does it regularize?

 

already mentioned is law number 164/1982. It provides to say how transsexual people can change sex (doesn't extist anything about transgenderism cases).

B. Medical Treatment

Q08:

Q08:

Are the following treatments financed by the public health service respectively by the state?

 

Psychotherapy

sometimes

 

Hormone treatment

never

 

Speech therapy

sometimes

 

Facial hair removal

never

 

Hair Transplantation

never

 

Reduction of the Adam's apple

never

 

Voice operation

sometimes

 

Breast reduction (Mastectomy)

usually

 

Removal of uterus/ovaries (Hysterectomy)  

usually

 

Metoidoplasty

usually

 

Phalloplasty

usually

 

Breast augmentation

never

 

Vaginoplasty

usually

 

Facial feminisation surgery

never

 

Others:     

 

Q09:

What are the mandatory conditions for hormonal treatment?

 

 

None

 

Yes  

Minimum age  18   years

 

 

Psychotherapeutic treatment

 

Yes  

Evaluation by a qualified mental health professional

 

 

Real live experience

 

 

Legal proceeding

 

Yes  

Others: the 18 years minum age is not provided by law but it is almost impossible to find s.one doing

 

 

Impossible

Q10:

What are the mandatory conditions for Sex Reassignment Surgeries?

 

 

None

 

Yes  

Minimum age  18   years

 

Yes  

Psychotherapeutic treatment

 

Yes  

Evaluation by a qualified mental health professional

 

 

Real live experience

 

Yes  

Legal proceeding

 

Yes  

Others: Psychotherapeutic treatment is not by law bus some public centers obliges to do it

 

 

Impossible

 

If there are different conditions for specific surgeries, please give an explanation:

 

the differences between MtF and FtM is becouse falloplastic is considered a sperimental kind of surgery with high risks. Theorically an MtF also could have authorizatione after only orchiectomy but we didn't collect a case till now (we are close to follow a pair of cases). The very point is that after changing sex, you are definly sterile in your origin sex

Q11:

Is there a sufficient medical service concerning

 

Hormone treatment  

  3  

 

Mastectomy

1

 

Phalloplasty

2

 

Vaginoplasty

6

 

C. Social

C.1. Work

Q12:

How many transgenders are employed in regular jobs?

40  % 

  est  

 

How many transgenders are sex workers?

60  % 

est

 

How many transgenders are in education / vocational training?  

 % 

 

How many transgenders are unemployed?

50  % 

est

 

Q13:

How many transgenders loose their job whilst transition?           

50  % 

  est  

 

C.2. Violence and Discrimination

Q11:

Is there significant physical violence against transgenders done by

 

Police  

  2  

 

People

2

 

Others:  

2

 

Details:

 

All the votes must be inccreased to 4 if transgender is an irregular extracommunitary Male To Female doing prostitution. Even prostitution is almos 95% for extracommunitary

Q15:

In which fields transgenders are frequently affected by significant discrimination?

 

job, family, house renting

 

Details:

 

Additional Information:

Add:

Finished and confirmed!  N