The bill explicitly forbids any medical interventions aimed at altering an individual's sex and prohibits changing gender markers on official documents and public records. The newly added clauses to the bill further amend Russia's Family Code, allowing marriages to be annulled if one person undergoes a gender transition and disqualifying those who have "changed gender" from becoming foster or adoptive parents, as?AP reported.

Proponents of the bill claim it is necessary to protect Russia's "traditional values" and shield the country from what they perceive as Western influences promoting an "anti-family ideology." Some lawmakers have even labeled gender transitioning as "pure satanism." However, the legislation has elicited strong backlash from both LGBTQ+ rights advocates and the medical community.

Critics denounce the bill as misanthropic and argue that gender transitioning procedures should not be completely banned, as they are essential for individuals seeking to live authentically and find inner peace. The bill's passage exacerbates an already oppressive climate for LGBTQ+ people in Russia, with President Vladimir Putin's decade-long emphasis on "traditional family values" and previous anti-LGBTQ+ laws, such as the "gay propaganda" law and the ban on same-sex marriage.

The intensified crackdown on LGBTQ+ rights gained momentum following Russia's military involvement in Ukraine, with the authorities framing their actions as a defense against perceived Western degradation. Last year, the Russian government passed legislation banning the "propaganda of nontraditional sexual relations" among adults, effectively erasing positive or neutral portrayals of LGBTQ+ individuals from movies, literature, and media.