An Italian juvenile court has set a significant and controversial legal precedent by approving a 13-year-old minor's request to change their registered gender, making this the youngest case of its kind in Italy and igniting a fierce national debate over minors' rights, parental authority, and the evolving legal landscape surrounding gender identity across Europe.
The Tribunal of La Spezia issued its decision on December 21st after reviewing a request filed by the child's parents, supported by medical and psychological reports certifying a completed gender transition process under clinical supervision. The ruling orders rectification of the birth certificate, allowing the minor—born female—to be officially registered as male with a corresponding name change. The family's attorney, Stefano Genick, described the resolution as "historic in terms of precedent" and assured that the court determined "at 13 years old, gender identity is already consolidated," a conclusion reportedly confirmed by judicially appointed medical evaluations.
"It's absolute madness. The Italian legal system prevents a minor under 14 from getting a tattoo or being criminally liable for serious offenses, but allows hormonal treatments and legal sex changes."
According to court documents, magistrates based their approval on "the psychotherapeutic path followed consistently, the hormonal therapies administered successfully, and the mature management of the social discomfort associated with the change process." The judges concluded that the minor had reached "full awareness of the incongruence between her body and the perceived gender identity." The medical process began in 2021 at Careggi Hospital's Andrology and Endocrinology Center, where specialists diagnosed gender dysphoria and prescribed triptorelin—a puberty-blocking drug—to suspend normal development and allow the body to align with the patient's sense of self.
Jacopo Coghe, spokesperson for the Pro Vita & Famiglia organization, denounced the ruling's inconsistency, noting Italian law does not consider 13-year-olds mature enough to consent to tattoos yet allows court-approved gender changes following hormone treatment. Coghe announced his organization will fight to amend Italian legislation to prevent minors from undergoing sexual transition processes, highlighting the contradiction of a judiciary that authorizes these decisions while in other cases removing custody from families for alleged educational deficiencies. Conservative commentator Francesca Totolo emphasized the absurdity on social media, writing that at 13 one cannot drive, vote, get tattooed, or drink alcohol, yet a judge can authorize gender changes with parental agreement.
Italy has no law establishing a minimum age for gender transition from either medical or legal standpoints. The 2011 legislation eliminated surgery requirements for modifying registered sex, while 2015 court rulings established that gender-affirming surgery is not necessary for reassigning name and gender in civil registries. Europe presents an uneven landscape on these issues—Spain maintains one of the most permissive regulations, Hungary expressly prohibits such procedures for minors, and Poland lacks specific regulation. Italy's conservative government led by Giorgia Meloni has proposed tightening controls on gender-affirming medical care for minors, though that legislation remains pending parliamentary approval.
This ruling consolidates a precedent that expands judicial action on gender identity for minors despite profound questions about whether 13-year-olds possess sufficient maturity to make life-altering irreversible decisions about their bodies and identities. The case exposes the tension between competing values—respecting individual autonomy and self-determination versus protecting children from premature choices they may regret as adults. European nations increasingly grapple with these issues as transgender activism pushes for younger ages of medical intervention while growing evidence suggests many adolescents who experience gender dysphoria naturally desist if not medicalized. Countries including Sweden, Finland, and the United Kingdom have reversed course on permissive pediatric gender medicine after reviewing outcomes data, implementing restrictions on puberty blockers and requiring extensive psychological evaluation before any medical intervention. Italy's La Spezia decision moves in the opposite direction, treating 13-year-olds as capable of making permanent identity determinations while simultaneously maintaining they lack capacity for countless other decisions—a logical inconsistency that reflects ideological commitments rather than coherent principles about childhood development, parental rights, and the proper role of courts in medical decisions affecting minors.