The Albanian Ministry of Health and Social Protection has officially approved a clinical practice guideline regarding the hormonal treatment of transgender individuals within the public health system. Approved via Order No. 304 on April 28, 2026, the directive authorizes the provision of specialized hormonal therapies through the Endocrinology Service at the "Mother Teresa" University Hospital Center (QSUT).
This decision marks the first time such care has been formally integrated into the national public health infrastructure, ending a period where such services were largely undefined or inaccessible within the state system. However, the policy has met with significant criticism from some medical professionals and members of civil society.
During a recent appearance on the program "Ora Shtatë," Dr. Ilir Allkja expressed strong opposition to the directive. He argued that the provision of hormonal treatment, and potential future surgical interventions, conflicts with the traditional principles of the public health service, citing concerns over potential long-term organ damage.
Dr. Allkja characterized the medical support for gender transition as a response to emotional distress, questioning the clinical necessity of such interventions. His position was echoed by psychologist Bona Miekley, who raised concerns regarding the implications for minors and the broader social impact of the policy.
The debate highlights a growing tension in Albania between the advancement of modern healthcare standards for LGBTQ+ individuals and traditionalist views held by some segments of the medical community and the public.
