The State Duma approved the bill, which will also ban people changing their genders on state documents, on Friday.
It now needs approval from the upper house and President Vladimir Putin, moves normally seen as formalities.
Speaker of the Duma, Vyacheslav Volodin, said the bill would "protect our citizens and our children".
In a telegram post on Friday, Mr Volodin also called gender-affirming surgery a "path to the degeneration of the nation".
Fresh amendments added to the bill on Friday during its final reading included banning individuals who have undergone gender changes from adopting children, and annulling marriages where one party had undergone gender reassignment.
LGBT rights groups said the legislation would have a serious impact on the health of people denied access to care.
Source: www.bbc.co.uk
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