Many countries around the world allow gender reassignment surgery. As of 2020, there were 39 countries where it was prohibited. Russia joined the list in 2023.
However, the only people adopting Russian orphans in recent years have come from countries where gender reassignment is allowed. Five of the six foreign adoptions in 2023 were by Italian citizens and the other was by a family from France.
In the last 10 years, foreign adoptions in Russia have come to an almost complete halt. The number has been steadily decreasing ever since the Dima Yakovlev law, which specifically forbade Americans from adopting Russian children, came into force in 2013.
Foreigners adopted 1,052 Russian children in 2014, but that number had fallen to just 69 by 2021, with those children most frequently adopted by families from Italy, Spain, France, Germany and Israel.