Supreme Federal Court of Brazil reverses ruling allowing minors access to hormone blockers

The reversing of access has been challenged by transsexual organizations.

Brasília, Brazil —  Oct. 08.

By Roberta Rocinante | roberta@theneedlenews.com

The Minister of the Supreme Federal Court (STF), Flávio Dino (PCdB), has reestablished Resolution 2427/2025 of the Federal Council of Medicine of Brazil (Conselho Federal de Medicina, CFM) that forbade transgender minors from being prescribed hormone blockers and set the minimum age of twenty-one years old for gender reassignment surgeries and related procedures.

This decision by the Minister comes after a resolution in 2019 that allowed for such procedures in minors. Resolution 2265/2019 allowed transgender minors access to hormone blockers, hormone replacement treatment (HRT), and allowed people over the age of eighteen to have access to gender reassignment surgery.

The new decision has come after Resolution 2427/2025 was dismissed by the estate of Acre in June this year.

Editor’s note: For our US readers, an estate in this context in Brazil is like a state or province.

The dismissal came after the Federal Public Ministry found it to be a legal and social step back that didn’t include local social groups in the discussion and violated well-established scientific evidence.

The estate of Acre agreed with these allegations and forbade the change of the CFM’s rules.

The CFM then issued a formal complaint to the STF with the arguments that the change in rules set by the resolution can only be decided by the STF due to it affecting all and not just the estate of Acre and by the fact that the resolution is being evaluated by the STF in two separate inquiries.

One inquiry initiated by ANTRA, the national association of travestis and transsexuals, and IBRAT, the Brazilian Institute of Transmasculinity, demands the end of Resolution 2427/2025 and the reinstatement of the previous Resolution 2265/2019.

The second inquiry was initiated by the Socialism and Liberty Party (PSOL).

PSOL argues that the CFM has no rights in its duty to regulate procedures nor legal precedent to restrict the fundamental rights of the people.
According to Carol Iara (PSOL), “It’s a resolution that compromises the access and continuity of care for people in the public healthcare system.” Iara continued, “The blocking of these procedures add greatly to the marginalization of this parcel of the population.”

In his decision, Minister Flávio Dino commented that the decision over Resolution 2427/2025 goes over the rights of estates – such as Acre – and falls upon the hands of the STF due to its nature.

Dino stated that the Federal Public Ministry should have handed the decision to the STF.

For now, the resolution will stand until either the trial of CFM’s formal complaint or the end of the inquiries led by ANTRA, IBRAT, and PSOL.