It has also been translated into French, German, Spanish, Portuguese, and several other languages for a total of 23 countries[14] (Brazil, Bulgaria, China, Finland, France, Germany Hungary, Japan, Latvia, Lithuania, Macedonia, Netherlands, Panama, Poland, Portugal, Romania, Russia, Spain, Thailand, Taiwan, Ukraine, United Kingdom, USA).

[20] She called the American Psychiatric Association "nonsensical",[18] she made references to gay bowel syndrome, a controversial and outdated term, and denied that homosexuality exists, saying, "C'è una sola sessualità e persone biologicamente perdenti che la rifiutano" (There is only one sexuality and biologically-lesser people who refute it).

[22]In 2013, De Mari wrote an open letter to Pope Francis, urging him to defend persecuted Christians rather than pursue popularity.

[23] In 2021, the Turin Medical Association suspended her from carrying out professional activities involving interpersonal contact, together with 94 other doctors and dentists, for refusing to undergo the Covid vaccination.

[30] The second case was motivated by a complaint of the Mario Mieli Homosexual Association, whose members were accused by Silvana De Mari of promoting pedophilia, necrophilia and coprophagia.