The TransPop study is the first national probability sample of transgender individuals in the United States (it also includes a comparative cisgender sample). A primary goal of this study was to provide researchers with a representative sample of transgender people in the United States. The study examines a variety of health-relevant domains including health outcomes and health behaviors, experiences with interpersonal and institutional discrimination, identity, transition-related experiences, and basic demographic characteristics (age, race/ethnicity, religion, political party affiliation, marital status, employment, income, location, sex, gender, and education). Co-investigators (in alphabetical order): Walter O. Bockting, Ph.D. (Columbia University); Jody L. Herman, Ph.D. (UCLA); Sari L. Reisner, Ph.D. (Harvard University and The Fenway Institute, Fenway Health).

In 2022, around 80 percent of transgender people in the United States had considered suicide, while around 40 percent had attempted suicide. There has been an upward trend in both the considered and attempted suicide rate since 2000, when 61 percent of transgender people considered committing suicide and 28 percent had attempted it.

The 2015 U.S. Transgender Survey (USTS) was conducted by the National Center for Transgender Equality (NCTE) to examine the experiences of transgender adults in the United States. The USTS questionnaire was administered online and data were collected over a 34-day period in the summer of 2015, between August 19 and September 21. The final sample included respondents from all fifty states, the District of Columbia, American Samoa, Guam, Puerto Rico, and U.S. military bases overseas. The USTS Public Use Dataset (PUDS) features survey results from 27,715 respondents and details the experiences of transgender people across a wide range of areas, such as education, employment, family life, health, housing, and interactions with police and prisons. The survey instrument had thirty-two sections that covered a broad array of topics, including questions related to the following topics (in alphabetical order): accessing restrooms; airport security; civic participation; counseling; family and peer support; health and health insurance; HIV; housing and homelessness; identity documents; immigration; intimate partner violence; military service; police and incarceration; policy priorities; public accommodations; sex work; sexual assault; substance use; suicidal thoughts and behaviors; unequal treatment, harassment, and physical attack; and voting. Demographic information includes age, racial and ethnic identity, sex assigned at birth, gender and preferred pronouns, sexual orientation, language(s) spoken at home, education, employment, income, religion/spirituality, and marital status.

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US Sex Reassignment Surgery Market Size 2024-2028

The US sex reassignment surgery market size is forecast to increase by USD 137 million at a CAGR of 10.87% between 2023 and 2028.

The sex reassignment surgery market in the US is experiencing significant growth due to several key factors. The number of individuals undergoing gender reassignment surgeries is on the rise, driven by an increasing acceptance and recognition of the transgender community. Additionally, heightened awareness among this population about the availability and benefits of sex reassignment surgeries in addition to non-surgical cosmetic procedures is contributing to market expansion.
However, the market also faces challenges, including the potential side effects and complications associated with these procedures. Despite these challenges, the market is expected to continue growing as more individuals seek to align their physical appearance with their gender identity.
This trend is likely to persist, fueled by ongoing social and cultural shifts towards greater acceptance and understanding of transgender individuals.

What will be the size of the US Sex Reassignment Surgery Market during the forecast period?

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The sex reassignment surgery market in the US continues to evolve, driven by the growing recognition and acceptance of transgender individuals seeking gender dysphoria treatment. Transgender males and females, representing a diverse and expanding cohort, increasingly seek gender dysphoria transition and sexual wellness through various gender-affirming procedures. Self-identified gender and gender identity are increasingly prioritized, leading to an uptick in demand for genital reconstructive procedures, chest surgery (mastectomy), facial feminization surgery, and other gender-confirming surgeries. Clinicians play a crucial role in providing mental health support and guiding patients through the decision-making process. A recent national inpatient sample study revealed temporal trends indicating a steady increase In the number of gender dysphoria-related hospitalizations.
Hormone therapy remains a common component of the transition process, further fueling market growth. The market is expected to continue expanding as societal attitudes towards transgender individuals evolve and access to healthcare improves.

How is this market segmented and which is the largest segment?

The market research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD million' for the period 2024-2028, as well as historical data from 2018-2022 for the following segments.

Type

  Male to female
  Female to male


End-user

  Hospitals
  Clinics


Geography

  US

By Type Insights

The male to female segment is estimated to witness significant growth during the forecast period.

Sex reassignment surgery, also known as gender confirmation surgery, is a medical procedure that facilitates the physical transition of transgender individuals from their identified gender to the opposite sex. This process primarily involves male-to-female (MTF) and female-to-male (FTM) transitions. MTF surgeries aim to create a neo-vagina and feminine appearance, often preceded by hormone therapy. Associated procedures include vaginoplasty, facial feminization surgery, breast enhancement, and orchiectomy. In MTF surgeries, the original penis is utilized to construct a sensate neo-vagina, while testicles are removed in an orchiectomy. The labia are formed from the scrotal skin. Transgender females and males, particularly the young population, undergo gender dysphoria transition, which is a critical part of their self-identified gender identity journey.

The transfeminine population and transmasculine population seek gender-affirming care, including genital reconstructive procedures, to align their bodies with their gender identity. The US healthcare landscape has seen continuous innovations in gender-affirming surgical procedures, with clinics like Mount Sinai Hospital and institutions such as the Transgender Surgery Institute offering specialized services. The Affordable Care Act (Obamacare) and Medicaid program have expanded coverage for transgender beneficiaries, enabling more equitable access to gender-affirming care. Gender-affirming surgeries, including hysterectomy, salpingo-oophorectomy, mastectomy, metoidioplasty, phalloplasty, scrotoplasty, chest masculinization surgery, and facial feminization surgery, have become increasingly common. These procedures aim to improve patients' satisfaction, mental health, and overall well-being, while addressing societal stigma and perioperative complications. The market for gender-affirming surgical procedures is expected to grow, driven by the increasing awareness and acceptance of transgender issues.

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The male to

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Gender Reassignment Surgery Market Size 2025-2029

The gender reassignment surgery market size is forecast to increase by USD 374.2 million, at a CAGR of 11.2% between 2024 and 2029.

The market is experiencing significant growth due to the increasing number of individuals opting for sex change procedures worldwide. This trend is driven by the growing acceptance and recognition of transgender and gender non-conforming individuals, leading to a surge in demand for medical solutions to help them align their physical identity with their gender identity. Advancements in medical technology have also played a crucial role in the market's expansion, enabling surgeons to perform these procedures more safely and effectively than ever before. However, the high cost of gender reassignment surgeries remains a significant challenge for many individuals seeking these procedures. Despite this obstacle, the market's potential for growth is substantial, particularly as societal attitudes towards gender identity continue to evolve and more individuals feel empowered to seek out the medical solutions they need to live authentically. Companies operating in this market can capitalize on this trend by offering affordable financing options, partnering with insurance providers, and investing in research and development to further advance surgical techniques and reduce costs.

What will be the Size of the Gender Reassignment Surgery Market during the forecast period?

Explore in-depth regional segment analysis with market size data - historical 2019-2023 and forecasts 2025-2029 - in the full report.
Request Free SampleThe market continues to evolve, driven by advancements in medical technology, growing societal acceptance, and increasing demand for comprehensive care. Surgical implants, preoperative counseling, and surgical techniques are constantly improving to enhance patient satisfaction and outcomes. Body image, a significant factor in the decision-making process, is addressed through various means, including social support groups and mental health services. Gender identity, a complex construct, is being explored through clinical trials and psychological counseling, aiming to provide more personalized and effective care. Hormone therapy, a crucial aspect of gender affirmation, is subject to ongoing research and refinement. Healthcare costs, a barrier for many, are being addressed through insurance coverage and medical tourism. Infection control, surgical risks, and pain management are essential components of quality care, with data analysis and evidence-based practices guiding best practices. Facial feminization and breast augmentation are popular procedures, but genital reconstruction and voice therapy are also gaining attention. Ethical considerations, patient advocacy, and long-term effects are crucial areas of focus. Sexual health, scar management, fertility preservation, and postoperative support are essential aspects of holistic care. Professional guidelines and post-operative care ensure consistent quality, while follow-up appointments and community resources provide ongoing support. Psychosocial assessment and informed consent forms are integral parts of the preoperative process. Medical imaging and patient education are essential for accurate diagnosis and effective treatment. The market is characterized by continuous dynamism, with ongoing unfolding of market activities and evolving patterns. Adverse events, healthcare access, and patient advocacy are ongoing concerns, requiring constant attention and innovation. The ultimate goal is to improve patient outcomes, enhance quality of life, and ensure ethical and compassionate care.

How is this Gender Reassignment Surgery Industry segmented?

The gender reassignment surgery industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD million' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments. TypeMale to femaleFemale to maleEnd-userHospitalsSpecialty ClinicsAmbulatory Surgical Centers (ASCs)Distribution ChannelPublic healthcare systemsPrivate healthcare providersTechnologyMinimally invasive techniquesRobotic-assisted surgeryTraditional open surgeryPatient DemographicsAgeSocioeconomic statusGeographyNorth AmericaUSCanadaEuropeGermanySpainUKAPACIndiaMalaysiaThailandSouth AmericaArgentinaBrazilRest of World (ROW)

By Type Insights

The male to female segment is estimated to witness significant growth during the forecast period.The market encompasses various procedures aimed at helping individuals with gender dysphoria transition into their identified gender. This process often includes hormone therapy and psychological counseling to ensure readiness and understanding of the implications. Hormone therapy, while not mandatory, helps patients align their physical appearance with their gender identi

In a global survey conducted in 2023, ***** percent of respondents from 30 countries identified themselves as transgender, non-binary/non-conforming/gender-fluid, or in another way. In Switzerland, around *** percent of the respondents stated to identify themselves with one of the listed genders.

This catalog record includes detailed variable-level descriptions, enabling data discovery and comparison. The data are not archived at ICPSR. Users should consult the data owners (via the Roper Center for Public Opinion Research) directly for details on obtaining the data. This collection includes variable-level metadata of the 2017 Discrimination in the United States Survey, a survey from Harvard T.H. Chan School of Public Health/Robert Wood Johnson Foundation/National Public Radio conducted by Social Science Research Solutions (SSRS). Topics covered in this survey include:Belief in discrimination against racial/ethnic minoritiesDiscrimination against men/womenDiscrimination against lesbian/gay/bisexual peopleDiscrimination against transgender peopleBiggest problem with discrimination against lesbian/gay/bisexual/transgender/queer (LGBTQ) peopleLive on tribal landsLocal/tribal government Discrimination based on raceDiscrimination based on genderDiscrimination based on being part of the LGBTQ communityReasons for avoiding seeking health careExperiences with discriminationDiscrimination resulting in fewer employment opportunitiesDiscrimination resulting in unequal payDiscrimination resulting in fewer chances for quality educationEncouraged to/discouraged from applying to collegePredominant groups living in respondent's areaNot feeling/being welcomed in neighborhood due to raceNot feeling/being welcomed in neighborhood due to being part of LGBTQ communityConsidered moving to another area because of discriminationComparing respondent's area to othersPolice using unnecessary force based on race/ethnicityAvoiding activities to avoid discrimination from policeExperiences caused by racial discriminationExperiences caused by gender discriminationExperiences caused by discrimination against LGBTQ communityLocal police force does/does not reflect racial/ethnic background of communityContacted by political representatives about voting/supporting causeRegistered to voteVote in 2016 presidential electionPhysical health statusMental health statusDisabilityChronic illnessVeterans AdministrationIndian Health ServicesSeeking health careInsurance coverageThe data and documentation files for this survey are available through the Roper Center for Public Opinion Research [Roper #31114655]. Frequencies and summary statistics for the 235 variables from this survey are available through the ICPSR social science variable database and can be accessed from the Variables tab.

Abstract: Transgender rights encompass the advocacy for equal civil and social rights for those who do not conform to traditional gender norms. This term covers a diverse range of individuals, including transsexuals, cross-dressers, and those identifying as gender non-binary. Conversely, cisgender individuals accept their biological gender identity. Over the past few decades, the political organization and visibility of transgender individuals have grown significantly. Despite variations in global estimates, recent research suggests that around 1 in 250 people in the United States identify as transgender (Meerwijk and Sevelius, 2017). Transgender rights are often framed as moral claims, entailing benefits such as the right to self-identify gender, access to necessary medical care, and protection from discrimination. This advocacy places responsibilities on governments, corporations, and individuals. While there is a risk of oversimplifying the experiences of transgender individuals by using a single term, "transgender," it remains a crucial phrase for organizing and advocating for rights. The term encompasses a political and social movement striving for equal protection of civil and social rights, expanding beyond the transgender community. Transgender rights are not confined solely to this group; they apply universally, grounded in moral principles rather than statutory protection. Despite legal progress, transgender individuals still face violence, prejudice, and marginalization, ranging from verbal abuse to extreme physical violence. Transgender women of color, in particular, encounter heightened risks in the United States and Europe. Health issues, unemployment, poverty, and suicidal thoughts are prevalent among transgender individuals.

While legal and jurisprudential aspects of transgender rights are well-documented, philosophical ethics discussions on this topic are limited. To understand the essence of transgender rights, we explore human rights organizations' efforts and moral arguments advocating for fundamental gender rights, including the freedom to choose and express one's gender identity.

The goal of this exploratory study was to delineate health differences among transgender subpopulations (transgender women/TW, transgender men/TM, gender nonbinary/GNB adults). 2015 Behavioral Risk Factor Surveillance System data were analyzed to compare the health of three groups (TW:N = 369; TM:N = 239; GNB:N = 156). Logistic regression and adjusted odds ratios were used to determine whether health outcomes (fair/poor health, frequent physical and mental unhealthy days, chronic health conditions, and health problems/impairments) are related to group and its interaction with personal characteristics and socioeconomic position. Group was a significant predictor of fair/poor health and frequent mental unhealthy days, revealing significant health differences between the transgender groups. The odds of poor/fair health were approximately 2.5 times higher in TM and GNB adults relative to TW. The odds of frequent mental unhealthy days for TM were approximately 1.5–2 times greater than TW and GNB adults. Among those with health insurance, the odds of fair/poor health for GNB adults was more than 1.5–2 times higher that of TM and TW. Among those without health insurance, TM had over 7 times greater odds of fair/poor health than TW. This study underscores the importance of classifying and examining the health of the transgender population as unique subpopulations, as notable health differences were discovered. TM and GNB adults have significant health concerns, requiring the attention of clinical interventions aimed at promoting health and preventing illness.

This dataset contains surveillance study estimates for population size, HIV prevalence, and ART coverage among female sex workers (FSW), men who have sex with men (MSM), people who inject drugs (PWID), and transgender men and women (TGM/W) from 2010-2023. It was created to support the UNAIDS Estimates Key Population Workbook for use by HIV estimates teams in sub-Saharan Africa. Key population surveillance reports, including Ministry of Health-led biobehavioural surveys, mapping studies, and academic studies were used to populate the database.

The dataset was populated using existing key population size estimate databases including:

• UNAIDS Key Population Atlas
• US Centers for Disease Control and Prevention surveillance database
• Global Fund against HIV/AIDS, TB, and Malaria surveillance database
• Global.HIV database
• Systematic review databases among MSM (Stannah et al, 2019 and Stannah et al., 2023) and PWID (Degenhardt et al., 2023)

and was additionally supplemented by a literature review of peer-reviewed and grey literature sources.

Mapping LGBTQ Equality: 2010 to 2020 presented the status of LGBTQ equality at the U.S. state level by examining a policy tally by the Movement Advancement Project (MAP), and encompassed nearly 40 LGBTQ-related laws and policies across all 50 states, the District of Columbia, and the five U.S. territories as of January 1, 2020. The report also compared the January 1, 2020 status of LGBTQ policy landscape to the status of those same laws as of January 1, 2010. MAP's policy tally aggregated these laws and policies to gauge the LGBTQ-related policy landscape across the country. What emerged in 2020 was a patchwork of positive LGBTQ laws and policies, with variations both by region and area of law, as well as growth in both the policy accomplishments and challenges facing LGBTQ people over the decade of observation. Areas of law and policy included: relationship and parental recognition, nondiscrimination, religious exemptions, LGBTQ youth-related laws, health care, criminal justice, and identity documents.

Demographic characteristics of study participants, comparing transgender women and cisgender men.

Participating studies, enrolled populations, study site, number of transgender women study participants.

Sample sociodemographic characteristics, Canadians age 14 and over.

Estimated odds ratios and 95% CIs from logistic regression models predicting suicidality, transwomen.

BackgroundTransgender people encounter significant barriers when seeking timely, high-quality healthcare, resulting in unmet medical needs with increased rates of diabetes, asthma, chronic obstructive pulmonary disease, and HIV. The paucity of postgraduate medical education to invest in standardization of transgender health training sustains these barriers, leaving physicians feeling unprepared and averse to provide transgender health care. Closing this education gap and improving transgender healthcare necessitates the development of consensus-built transgender health objectives of training (THOOT), particularly in Adult Endocrinology and Metabolism Residency programs.MethodsWe conducted a two-round modified-Delphi process involving a nationally representative panel of experts, including Adult Endocrinology and Metabolism program directors, physician content experts, residents, and transgender community members, to identify THOOT for inclusion in Canadian Endocrinology and Metabolism Residency programs. Participants used a 5-point Likert scale to assess THOOT importance for curricular inclusion, with opportunities for written feedback. Data was collected through Qualtrics and analyzed after each round.FindingsIn the first Delphi round, panelists reviewed and rated 81 literature extracted THOOT, achieving consensus on all objectives. Following panelists’ feedback, 5 THOOT were added, 9 removed, 34 consolidated into 12 objectives, and 47 were rephrased or retained. In the second Delphi round, panelists assessed 55 THOOT. Consensus was established for 8 THOOT. Program directors’ post-Delphi feedback further consolidated objectives to arrive at 4 THOOT for curriculum inclusion.ConclusionsTo our knowledge, this is the first time a consensus-based approach has been used to establish THOOT for any subspecialty postgraduate medicine program across Canada or the United States. Our results lay the foundation towards health equity and social justice in transgender health medical education, offering a blueprint for future innovations.

According to a global survey conducted in 2021, three in 10 respondents had at least once spoken out against someone who was being prejudiced against LGBT+ people. In addition, some 13 percent attended a public event in support of LGBT+ people, e.g. a Pride march.