Text of OR SB 452 (2023)
Relating to gender reassignment surgery.
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As introduced
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82nd OREGON LEGISLATIVE ASSEMBLY--2023 Regular Session
Senate Bill 452
Sponsored by Senator HANSELL; Senator FINDLEY (Presession filed.)
SUMMARY
The following summary is not prepared by the sponsors of the measure and is not a part of the body thereof subject
to consideration by the Legislative Assembly. It is an editor’s brief statement of the essential features of the
measure as introduced.
Prohibits physicians from performing irreversible gender reassignment surgery on minor. Cre-
ates exceptions.
A BILL FOR AN ACT
Relating to gender reassignment surgery.
Be It Enacted by the People of the State of Oregon:
SECTION 1. Section 2 of this 2023 Act is added to and made a part of ORS chapter 677.
SECTION 2. (1) As used in this section:
(a) “Biological sex” means the biological indication of male or female in the context of
reproductive potential or capacity, such as sex chromosomes, naturally occurring sex
hormones, gonads and nonambiguous internal and external genitalia present at birth without
regard to a person’s psychological, chosen or subjective experience of gender.
(b) “Gender” means the psychological, behavioral, social and cultural aspects of being
male or female.
(c) “Gender transition” means the process involving any social, legal or physical changes
by which a person goes from identifying with and living as a gender that corresponds to the
person’s biological sex to identifying with and living as a gender different from the person’s
biological sex and may involve social, legal or physical changes.
(2) A physician may not perform any of the following procedures on a person under 18
years of age for the purpose of assisting the person with an irreversible gender transition:
(a) Penectomy, orchiectomy, vaginoplasty, clitoroplasty or vulvoplasty for a biologically
male person or hysterectomy or oophorectomy for a biologically female person.
(b) Metoidioplasty, phalloplasty, vaginectomy, scrotoplasty or implantation of erection or
testicular prostheses for a biologically female person.
(c) Augmentation mammoplasty for a biologically male person or subcutaneous
mastectomy for a biologically female person.
(3) Notwithstanding subsection (2) of this section, a physician may provide the following
necessary services and medical treatment to a person under 18 years of age:
(a) Services to a person born with a medically verifiable disorder of sex development,
including a person with external biological sex characteristics that are irresolvably ambig-
uous, such as being born with 46 XX chromosomes with virilization or 46 XY chromosomes
with undervirilization or having both ovarian and testicular tissue.
(b) Services provided when a physician has otherwise diagnosed a disorder of sexual de-
velopment and has determined through genetic or biochemical testing that the person does
NOTE:
Matter in boldfaced type in an amended section is new; matter [italic and bracketed] is existing law to be omitted.
New sections are in boldfaced type.
LC 2973
SB 452
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not have normal sex chromosome structure, sex steroid hormone production or sex steroid
hormone action.
(c) The treatment of any infection, injury, disease or disorder that has been caused or
exacerbated by the performance of a gender transition procedure, whether or not the gender
transition procedure was performed in accordance with state and federal law.
(d) Any procedure undertaken because the person suffers from a physical disorder,
physical injury or physical illness that would, as diagnosed by a physician, place the person
in imminent danger of death or impairment of major bodily function or death unless surgery
is performed.
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