While a number of provinces offer gender-neutral birth certificates, many in Canada’s trans and gender-diverse communities say they are concerned their lived identity is not always reflected in official documents after their death. Callum Tate, a transgender man, is pictured in his Toronto apartment on Saturday, Dec. 22, 2018. (Chris Young/The Canadian Press)

While a number of provinces offer gender-neutral birth certificates, many in Canada’s trans and gender-diverse communities say they are concerned their lived identity is not always reflected in official documents after their death. Callum Tate, a transgender man, is pictured in his Toronto apartment on Saturday, Dec. 22, 2018. (Chris Young/The Canadian Press)

Transgender Canadians say death certificates don’t reflect their lived identity

Medical certificate of death reflects the sex as per the physical characteristics observed at autopsy

While a number of provinces offer gender-neutral birth certificates, many in Canada’s trans and gender-diverse communities say they are concerned their lived identity is not always reflected in official documents after their death.

“It’s the final ‘screw you,’” says Callum Tate, a Toronto transgender man in his mid-30s. ”It erases them without their voice here to say, ‘You made a mistake.’”

Between 2012 and 2017, all Canadian provinces and territories amended their Vital Statistics Act and lifted the requirement of gender confirmation surgery for people to change their gender on various documents. Five provinces and two territories offer a gender-neutral option.

READ MORE: X gender identity now recognized on B.C. IDs

Death certificates, however, are far behind.

“How an individual’s identity is reflected on vital event certificates is an important conversation that is being had in jurisdictions right across the country,” says Maria MacInnis at the Nova Scotia Vital Statistics and Medical Examiner’s Offices.

At the time of death, she says, the medical examiner or last attending physician completes the medical certificate of death, which reflects the sex as per the physical characteristics observed at autopsy. While each province has its own policy, practices across Canada are similar.

As only a small percentage of trans people opt to get gender confirmation surgery, the anatomy of the deceased doesn’t always reflect their gender identity.

READ MORE: B.C. to offer gender-affirming surgeries for transgender people

“In Canada, ascertaining the identity of a deceased person remains a very medicalized and pathologizing process that understands and empathizes the deceased person as a body categorized by sex assignment,” says Kate Hazell, a co-ordinator at The 519 — a Toronto-based agency that advocates for the LGBTQ community.

“There is currently no meaningful mechanism to ascertain the self-identified gender of a deceased person,” she says.

Hazell is aware of trans Canadians who were misgendered in official documents after death, though she declined to share their names for confidentiality reasons. The problem is also present in other countries, including the U.S.

“Not having one’s lived identity recognized at and after death is a form of violence,” says Hazell. “It also does harm to community, friends, partners and family who wish to ensure their loved one is represented in an authentic and respectful way.”

Misgendering after death may be deeply distressing to grieving family and friends, say advocates.

“It can also impact genealogical records, insurance claims and delays in settling the estate,” says Susanne Litke, lawyer and acting chair of the Nova Scotia Rainbow Action project.

For the Canadians who identify as transgender, concerns about death certificates can come tragically early. The 2015 Trans Pulse Report found that 20 per cent of transgender people in Ontario had been physically or sexually assaulted because they were trans, and 67 per cent feared they would die young. The 2017 Canadian Trans Youth Health Survey reports that transgender youth aged 19 to 25 had over 16 times the risk of a suicide attempt in the past year than cisgender youth of the same age.

A will is the only legal document that can help trans individuals express their wishes after death, says Litke.

“People can put in their will their name and gender to be respected and ask their executor to follow those requests,” she says.

Tate, whose father has dementia, says he worries about what will happen if he develops the condition and can’t advocate for himself one day.

“Government identification forms should include this question: ‘In the event of my death, I want to be referred as: Name, Gender,’” he says.

MacInnis says the way forward may include collection of both sex observed at autopsy as well as lived gender.

“Maintaining information on the anatomical sex of a person is important as health conditions related to the cause of the death can present differently” depending on biological sex, she says. “That being said, it is also important to gather statistical information on the 2SLGBTQIA+ community over time to improve health provision, service and outcomes.”

— Marie-Claude Grégoire is a pain and palliative medicine physician and a fellow in global journalism at the Munk School of Global Affairs at the University of Toronto.


Like us on Facebook and follow us on Twitter.

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Glenn Hall, resident at Yellowhead Pioneer Residence Assisted Living in Barrierem B.C. received their first COVID-19 vaccinations on Jan. 19. (Pam Simpson photo)
Acropolis residents and staff to receive COVID-19 vaccine

Prince Rupert long term care residents will receive the vaccine on Jan. 20

An outbreak of COVID-19 was declared on Jan. 19 at Acropolis Manor. The long-term care home also had an influenza outbreak nearly two years ago.
COVID-19 outbreak declared at Acropolis Manor

Prince Rupert long-term care home has four resident, three staff cases

Lax Kxeen Elementary School has two different active notices for potential COVID-19 exposure after three adult lab-confirmed cases of the virus were identified in Prince Rupert schools, School District 52 released in a statement on Jan. 18. (Photo K-J Millar/The Northern View)
Three adult COVID-19 cases result in four potential exposures in city schools

Prince Rupert School District 52 calls special open meeting

The Port of Prince Rupert has experienced another year of increased cargo volumes, shipped through the city, with more than $50 billion in international trade facilitated through the area, the Port Authority announced on Jan. 18. (Photo: K-J Millar/The Northern View)
Port cargo volume growth continues despite pandemic obstacles

Prince Rupert Port authority announces $50 billion in international trade

Prince Rupert Lions Club donated $11,500 to several local organizations from the proceeds of the 28th annual Blue Knuckle Derby on Jan. 18. (Photo: supplied)
Local organizations benefit from Blue Knuckle Derby

Prince Rupert Lions Club donates $11,500

Syringe is prepared with one of B.C.’s first vials of Pfizer vaccine to prevent COVID-19, Victoria, Dec. 22, 2020. (B.C. government)
B.C.’s COVID-19 caseload stays steady with 465 more Tuesday

No new outbreaks in health care facilities, 12 more deaths

New Westminster TV production designer, Rick Whitfield, has designed an office in a box for British Columbians in need of a private workspace. (BC Box Office photo)
PHOTOS: B.C. man designs ‘box office’ solution for those working from home

‘A professionally designed workspace on your property, away from the distractions of home’

Chilliwack ER doctor Marc Greidanus is featured in a video, published Jan. 18, 2021, where he demonstrates and describes effectiveness of various styles of masks. (Youtube)
VIDEO: Emergency room doctor runs through pros and cons of various masks

‘We’ve been asked to wear a mask and it’s not that hard,’ Greidanus says.

(Pixabay photo)
VIDEO: Tip to Metro Vancouver transit police helps woman 4,000 km away in Ohio

Sgt. Clint Hampton says transit police were alerted to a YouTube video of the woman in mental distress

A woman types on her laptop in Miami in a Monday, Dec. 12, 2016, photo illustration. THE CANADIAN PRESS/AP/Wilfredo Lee
British Columbia government lax on cybersecurity practices, auditor reports

The audit did not highlight a specific threat, but it found breaches in cybersecurity are increasing globally

Cranbrook Food Bank coordinator Deanna Kemperman, Potluck Cafe Society executive director Naved Noorani and Sunshine Coast Community Services Society executive director Catherine Leach join B.C.’s new Municipal Affairs Minister Josie Osborne on a video call about B.C. gaming grants, Jan. 19, 2021. (B.C. government)
B.C. gaming grants reorganized for COVID-19 priorities

Minister highlights community kitchens, food banks

(Pixabay photo)
‘Cocaine bananas’ arrive at Kelowna grocery stores after mix up from Colombia: RCMP

Kelowna RCMP recently concluded an international drug investigation after finding cocaine in local grocers’ banana shipments in 2019

A new video from NCCIH and BC Northern Health titled ‘Healing in Pandemic Times: Indigenous Peoples, Stigma and COVID-19’ was animated by Joanne Gervais. (Photo Provided By: NCCIH Archives)
VIDEO: Stigma against Indigenous people is a ‘social sickness’

A new short animated video is aiming to educate the public on the stigmatization

A pinniped was attacked by an unseen predator off the shores of Dallas Road Monday night. (Courtesy of Steffani Cameron)
VIDEO: Seal hunting, not being hunted in video shot off Victoria waterfront

Victoria woman captures footage of pinniped activity off Dallas Road

Most Read