Individuals who seek it can access simple administrative methods of changing sex assignment, with binary and non-binary forms of identification available.

A 12th-century canon law collection known as the Decretum Gratiani states that "Whether an hermaphrodite may witness a testament, depends on which sex prevails" (Hermafroditus an ad testamentum adhiberi possit, qualitas sexus incalescentis ostendit).

[1][2] In a court case heard at the Castellania in 1774 during the Order of St John in Malta, 17-year-old Rosa Mifsud from Luqa, later described in clinical literature as a "pseudo-hermaphrodite", petitioned for a change in sex classification from female.

[7][8][9] Silvan Agius subsequently became human rights policy coordinator at the Ministry for Social Dialogue,[10] and Ruth Baldacchino became co-secretary general of ILGA.

(2) In exceptional circumstances treatment may be effected once agreement is reached between the interdisciplinary team and the persons exercising parental authority or tutor of the minor who is still unable to provide consent:

[12]Also in 2015, the Ministry for Education and Employment introduced a policy for trans, gender variant and intersex students in schools, aiming to promote inclusion and combat discrimination.