N.D. Cent. Code § 12.1-36.1-02: Perception of a minor's sex - Prohibited practices - Penalty

1.Except as provided under section 12.1-36.1-03, if a minor's perception of the minor's sex is inconsistent with the minor's sex, a health care provider may not engage in any of the following practices for the purpose of changing or affirming the minor's perception of the minor's sex:

a.Perform castration, vasectomy, hysterectomy, oophorectomy, metoidioplasty, orchiectomy, penectomy, phalloplasty, or vaginoplasty;

b.Perform a mastectomy;

c.Prescribe, dispense, administer, or otherwise supply any drug that has the purpose of aligning the minor's sex with the minor's perception of the minor's sex when the perception is inconsistent with the minor's sex, including:

(1)Puberty-blocking medication to stop normal puberty;

(2)Supraphysiologic doses of testosterone to females; or

(3)Supraphysiologic doses of estrogen to males; or

d.Remove any otherwise healthy or nondiseased body part or tissue, except for a male circumcision.

2.A health care provider who willfully violates:

a.Subdivision a, b, or d of subsection 1 is guilty of a class B felony.

b.Subdivision c of subsection 1 is guilty of a class A misdemeanor.