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In page LGBTQ rights in Russia:

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In 2018, the Ministry of Health of the Russian Federation developed a draft medical certificate that will help transgender people with confirming their gender identity on their legal documents. The Ministry of Justice approved this document on January 19, 2018. Up to this point, changes related to the gender change could only be made to the documents on the basis of a court decision. The Ministry of Health explained that, in accordance with the legislation, the registry offices make changes to the birth certificate if a mentioned certificate is submitted.[citation needed]