Members of the trans community expressed fears that it would return Québec to the legal gender recognition laws that existed before 2015, could forcibly out trans people (if they chose to add the "gender" option instead of applying to change the "sex" field), and could potentially lead to people being forced into having surgery in order to change the contents of the "sex" field. Celeste Trianon of the Centre for Gender Advocacy at Concordia University argued that the bill was "attempting to reintroduce a sterilizing surgical requirement," calling it "a direct attack on the trans community."
The proposed legislation was seen by members of the trans community as potentially reversing Québec's legal framework for gender recognition, leading to concerns about forced disclosure of gender identity and potential mandatory surgeries to change sex designation. Celeste Trianon from the Centre for Gender Advocacy at Concordia University argued that the bill aimed to reintroduce a requirement for sterilization procedures, which she characterized as an attack on the transgender community.