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Access to gender-affirming care—supported by major medical associations worldwide—remains a critical necessity for mental health and well-being. Simultaneously, social affirmation, such as the correct use of a person's chosen name and pronouns, serves as a simple yet life-saving act of basic human respect.

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Countries like Argentina, Malta, and Spain have pioneered "self-determination" laws, allowing citizens to change their legal gender marker without requiring psychiatric evaluations or medical interventions. and Spain have pioneered "self-determination" laws