MedicalAffirming
2016
Sri Lanka issues a Gender Recognition Certificate from 16 with a medical referral.
Official sources
Asia. MoH Gender Recognition Certificate from 16 with medical referral.
Full official record
Sri Lanka’s National STD/AIDS Control Programme circular on issuing a Gender Recognition Certificate for the transgender community sets a pathway from age 16 with medical referral. That is an official ministry identity-document instrument tied to medical assessment.