Billboard Chris

World Progress · 2013–2025

North Macedonia

MedicalAffirmingSchoolsSchools restriction

The health ministry’s 2013 guideline sets an official adult-framed pathway for hormones and surgery. Schools must teach equality between women and men, not gender identity.

Official sources

Full record

North Macedonia’s health ministry published an official transsexualism treatment guideline. Schools later dropped gender-identity language.

On 30 November 2013 the Ministry of Health adopted an evidence-based-medicine guideline on treatment of transsexualism (decision 07-9039/2). The ministry still lists it under Psychiatry. The text describes diagnosis, social and legal transition, hormone therapy, surgery, psychosocial support, and follow-up. The framing is adult sex-change treatment.

Medical is Affirming.

Schools. The Assembly’s April 2025 amendments to the Law on Primary Education were published in Official Gazette No. 74 of 8 April 2025 (LDBIS amendment id 69994). The enacted text replaces “gender ideology and gender identity” with equality between women and men, and it removes sexual- and reproductive-health language from Article 48. That is a Schools restriction.

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