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."
Transgender individuals expressed concerns that the proposed legislation would reverse Québec's gender recognition laws, potentially forcing them to disclose their gender identity (by choosing the "gender" option instead of changing their sex designation) and could lead to mandatory surgeries to alter their sex marker. Celeste Trianon from the Centre for Gender Advocacy at Concordia University criticized the bill as an attempt to reinstate a requirement for sterilization procedures, calling it a direct attack on the transgender community.