Open Letter to Federal Party Leaders:
If elected, will your party amend Canadas Criminal Code to
prohibit medically unnecessary surgeries on
Intersex infants and children?
October 10, 2019
The Liberal Party of Canada
The Progressive Conservative Party of Canada
The Green Party of Canada
The New Democratic Party of Canada
Surgeries on intersex children have been condemned by major human rights groups such as the United
Nations, Physicians for Human Rights, and Human Rights Watch, as well as every intersex-led organization
in the world. Egale is urging the Canadian government to fulfill its treaty body obligations under international
law, especially concerning the UN Convention Against Torture.
Approximately 1.7% of the population is born with intersex traits (UNHCR factsheet). The term intersex
refers to a person whose chromosomal, hormonal or anatomical sex characteristics fall outside the
conventional classifications of male or female. The designation of "intersex" can be experienced as
stigmatizing. This is especially true given the history of medical practitioners imposing it as a diagnosis
requiring correction. It happens more often than not that medically unnecessary surgical or pharmaceutical
intervention takes place on intersex infants, children and young adults (some people may not be identified as
"intersex" until puberty or even later in life).
In Canada, the Criminal Code [s. 268(3)] the same section that bans Female Genital Mutilation allows for
parents and medical practitioners to undertake non-consensual, cosmetic and function-altering surgeries on
intersex infants. These surgeries have proven to result in lifelong physical and psychological pain, amounting
to Torture or Cruel, Inhuman and Degrading Treatment under the UN Convention Against Torture. The
existing law deprives intersex children from criminal protections against pathologization of their bodies, and
instead functions to normalize surgical interventions based on assumptions about medically “correct” or
“normal” bodies. Between 30-80% of intersex children undergo up to five irreversible surgeries.
When it comes to legal protections of human rights for intersex people, Canada is falling behind the rest of
the world. This is a matter of international human rights law and it is absurd for any government to assume
there won’t be repercussions for not adhering to international standards.
Countries and governing bodies around the world are taking action:
In 2017, The Council of Europe adopted resolution 2191, Promoting the human rights of and
eliminating discrimination against intersex people. This resolution prohibits medically unnecessary
sex-“normalising” surgery, sterilisation and other treatments practised on intersex children without
their informed consent. The resolution also calls for consultation with intersex people and asserts a
need for data collection and access to medical records for intersex people.
In 2015, Malta adopted the Gender Identity, Gender Expression and Sex Characteristics Act the first
law to prohibit surgery and treatment on the sex characteristics of minors without their informed
consent. It also prohibits discrimination on the basis of sex characteristics
In 2013, Australia adopted the Sex Discrimination Amendment (Sexual Orientation, Gender Identity
and Intersex Status) Act the first law to include intersex status as a stand-alone prohibited ground of
discrimination. The Australian Senate has also carried out an official inquiry into the involuntary or
coerced sterilization of intersex people.
In August 2018, the state of California, SCR-110 called for the creation of clear policy encouraging
the delay of cosmetic procedures until an intersex individual is old enough to make an informed
decision.
Colombian constitutional court has restricted the capacity of doctors and parents to allow for non-
consensual, cosmetic surgeries on intersex infants. In four separate decisions, the courts have ruled
that sex normalizing procedures cannot take place without the informed consent of the child itself.
The way we treat intersex people in Canada is shameful the surgeries we allow to take place on
intersex children are on all counts a violation of basic human rights and considered torture by the
United Nations.
Will you, if elected, commit to ensuring that Canada adheres to international standards of human
rights by amending the Criminal Code to prohibit non-consensual medically unnecessary surgeries on
intersex children? I
Sincerely,
Helen Kennedy
Executive Director at Egale Canada