2013–2025
The health ministry’s 2013 guideline sets an official adult-framed pathway for hormones and surgery.
Official sources
Europe. Official ministry transsexualism guideline. 2025 school-law amendment.
- Ministry of Health — EBM guideline on treatment of transsexualism →
- Ministry of Health — evidence-based medicine guidelines index →
- LDBIS — Law amending the Law on Primary Education (Official Gazette No. 74 / 8 April 2025) →
- Ministry of Justice — LDBIS legal database →
- LDBIS — Law on Primary Education (parent record listing gazette 74/2025) →
Full official record
The Ministry of Health’s evidence-based-medicine guideline on treatment of transsexualism sets an official clinical pathway: diagnosis, then psychosocial support, hormones, and surgery framed as sex-change treatment. The text is written for adults. It is ministry pathway guidance, not a pediatric clinic list.
Schools detail
Official Gazette of the Republic of North Macedonia No. 74 of 8 April 2025 published the Law amending the Law on Primary Education. The amendment replaces the terms “gender ideology and gender identity” with “equality between women and men.” The Justice Ministry’s LDBIS legal database records that gazette issue, publication date, and in-force date.