As of July 22, 2025, the majority of the transgender population aged 13 and over in the United States were living in a state with no ban on transgender people's use of bathrooms or facilities. However, ***** percent of the transgender population were living in a state which banned transgender people from using bathrooms and facilities consistent with their gender identity in K-12 schools only, while **** percent were living in a state which banned transgender people from using bathrooms and facilities corresponding to their gender identity in all government-owned buildings and spaces, including schools, colleges, and more. A further **** percent were living in a state that restricted transgender people from using bathrooms and facilities consistent with their gender identity in K-12 schools and at least some government-owned buildings as well. Anti-education legislation Statewide legislation affecting LGBTQ+ people in the U.S. has been on the rise recently, especially in K-12 schools. Many states have taken legal action to restrict schools from teaching topics of racism, sexism, gender identity, sexual orientation, and systemic inequality to students. However, studies show that Americans typically remain politically divided over how these topics should be taught; in 2022, the majority of Democratic parents were found to believe that children should be taught that the legacy of slavery still affects the position of Black people in American society today while the majority of Republican parents thought that children should be taught that slavery is a part of American history but does not affect the position of Black people in American society today. Book bans Censorship of these topics has also been seen in K-12 libraries, with book bans occurring in multiple states throughout the country. As of 2022, Texas had the highest number of books banned in the U.S., followed by Florida. Florida's Parental Rights in Education Act, which is often referred to as the "Don't Say Gay" law, has been particularly controversial as it aims to prevent discussion of gender identity or sexual orientation and remove books featuring LGBTQ+ characters in K-12 schools and libraries. Along with potentially harming LGBTQ+ students, K-12 teachers have also highlighted how these laws and debates over what topics should be taught in the classroom may negatively impact their ability to do their job.

Most transgender people realize that the gender they were assigned at birth did not match their own gender identity in their childhood and adolescence in all European countries. On average, 73 percent realized before the age of 18, with this being highest in Luxembourg, at 90 percent, and lowest in Hungary, at 62 percent.

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.

Germany and the Netherlands are the two countries in Europe with the greatest share of transgender people indicating that they have changed or are in the process of changing their legal gender, with 39 percent of respondents in both countries. Changing their gender on legal documents can be a huge milestone for many trans people, as it makes it easier for them to be identified identified according to their gender identity.

Trans people may experience great difficulties when going through the process of changing their legal gender, as many countries require medical and psychological evaluations before proceeding with the process. In such cases, where trans people do not trust public authorities to treat them in a non-discriminatory manner, very few transgender people go through the process to legally change gender, such as in Bulgaria, Lithuania, and Croatia, where less than five percent of respondents indicate they have done or are doing so.

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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

Selected socioeconomic characteristics of the transgender or non-binary population aged 15 and older, by age group. Marital status, presence of children under age 12 in the household, education, employment, personal income, Indigenous identity, the visible minority population, immigrant status, language(s) spoken most often at home, place of residence (population centre/rural), self-rated general health, and self-rated mental health. Estimates are obtained from combined cycles of the Canadian Community Health Survey, 2019 to 2021.

A worldwide project started in April 2009 called the Transgender Murder Monitoring Project (TMM) reported that 180 killings occurred between November 2009 and November 2010. Since January 2008, a total of 487 transgender people have been reported murdered. The TMM 2010 report broke down the murders in 19 countries. The majority happened in Brazil (91), Guatemala (15), Mexico (14), and the USA (14). (Source: Transgender Murder Monitoring Project. Regionally, the Belizean transgendered community has been continuously overlooked; they are invisible in the National Strategic Plan of 2006-2011. Funding received by the country for HIV/AIDS and outreach programs rarely reaches the transgender community because the system does not see the population as sufficiently large enough to make investments.The purpose of the research is to create a profile of transgender needs in the Belizean context; this report will feed into a larger effort for a region-wide advocacy plan that will be implemented by CRTA. The significance of the effort may lead to future planning around resource mobilization, capacity building and advocacy.

Worldwide, Brazil reported the highest number of transgender people murdered in 2023, reaching 100 victims. Most of the murders that year were reported in Latin America and the Caribbean. It is assumed that only a minority of the cases actually are reported, and the actual number is estimated to be significantly higher.

The Transgender Archives at the University of Victoria Libraries is home to the world's largest collection of materials related to the history of Trans+ activism. Since 2017, the Mapping Transgender Activism Project has been a partnership between UVic's Chair in Transgender Studies and UVic Libraries. The project has involved undergraduate and graduate student interns using pre-defined methodologies to read, review, and analyze rare periodicals catalogued by UVic Libraries dating from 1960 onwards. The project records historically important datapoints that appear in each periodical document, including names, dates, events, keywords, and locations, in addition to other textual data. The data is grouped into three main categories: "Issues," "Articles," and "Events." The top category is "Issues." All "Articles" and "Events" data correspond with the "Issues" file. Due to the COVID-19 global pandemic, the internship moved online during 2020-2021, resulting in some Transgender Archives material being accessed through the Digital Transgender Archive. The "DTA links" file lists these issues and links. The "Issue Cover Scans" file includes scanned cover images of all indexed issues. Each data file includes a "Data Dictionary" file providing full details. These files are open to review. Data files are restricted and access is provided upon request After submitting your request for access, your request will be reviewed by the office of the Chair in Transgender Studies. Afterwards, we will respond within a few business days. If you have any questions, please email transarc@uvic.ca

ABSTRACT Purpose: to describe the transgender people’s self-perception of voice. Methods: a total of 60 people participated in this cross-sectional study. They attended a reference outpatient center for the health of lesbians, gays, bisexuals, and transgender people. The data collection consisted of self-administered questionnaires, a participant’s profile questionnaire, and a voice self-assessment questionnaire. Results: most of the interviewees were young people who had never visited a speech-language-hearing therapist with the Public Health System (Sistema Único de Saúde); in general, they expressed interest in having such attention. The answers revealed an impact in the axes assessed, namely: “use of the voice in social life”, “mischaracterization of gender, due to the voice”, and “indication of dysphonia". Voice symptom characteristic of dysphonia was also identified in some people. Conclusion: transgender people are unsatisfied with their voices, which is an element that hinders the perception of the identified gender. It also has repercussions in their social, emotional, labor, and interpersonal lives. Hence, it is important to include speech-language-hearing therapy in the transgendering process, which is desired by most of the transgender people.

Abstract Violence against LGBT people has always been present in our society. Brazil is the country with the highest number of lethal crimes against LGBT people in the world. The aim of this study was to describe the characteristics of homicides of LGBT people in Brazil using spatial analysis. The LGBT homicide rate was used to facilitate the visualization of the geographical distribution of homicides. Public thoroughfares and the victim’s home were the most common places of occurrence. The most commonly used methods for killing male homosexuals and transgender people were cold weapons and firearms, respectively; however, homicides frequently involved beatings, suffocation, and other cruelties. The large majority of victims were aged between 20 and 49 years and typically white or brown. The North, Northeast and Central-West regions, precisely the regions with the lowest HDI, presented LGBT homicide rates above the national rate. LGBT homicides are typically hate crimes and constitute a serious public health problem because they affect young people, particularly transgender people. This problem needs to be addressed by the government, starting with the criminalization of homophobia and the subsequent formulation of public policies to reduce hate crimes and promote respect for diversity.

Transgender people, often referred to as the Hijras in the Indian subcontinent, are an officially recognized third gender in the country and consider themselves neither male nor female. As per the latest census in 2011, India recorded over *** thousand people who identified as the third gender, most of whom came from the northern state of Uttar Pradesh.

Socioeconomics of Hijras 

Hijras are associated by several terms, depending on culture and linguistics. In various Indian languages, Hijras are called Napunsakudu (Telugu), Thiru Nangai (Tamil), Khwaja Sara (Urdu), Khusra (Punjabi) and Mangalamukhi (Kannada) among others. The third gender is inherent to Indian mythology.

Socio-economically, Hijras live in well-defined communities, led by a Guru or teacher. They consist of generations of the third gender who were rejected by or fled from their birth-families. Apart from sex-work, performing at auspicious social gatherings or plain extortion was how most survived. This was due to the lack of education and employment due to their low status in their society’s hierarchy. This also meant that they underwent brutal violence with little or no opportunity for justice.

 Indian law and the third gender  

When the country’s Supreme Court re-criminalized homosexuality in 2013, there was a sharp increase in violence against the third gender by the Indian Police Service, far from investigating reports of sexual assault. Later in 2014, with the support of activists and NGOs lobbying for human rights, the same highest court ruled the recognition of the third gender community, equal to the socially and economically backward class. This meant that they now had access to proportional representation in education and jobs.

Objective: Characterizing the perceptions of groups most affected by HIV is fundamental in establishing guidelines for biomedical advancement. Although Brazil has successfully fought HIV/AIDS through several measures, transgender women still have a likelihood of HIV infection 55 times higher than the general population. This study aimed to better understand the perception and awareness of HIV cure research among the trans-identifying population in São Paulo, Brazil, and to determine factors that motivate or discourage participation in HIV cure studies.

Setting: This cross-sectional study analyzed data collected from a questionnaire administered to 118 transgender women and travestis at five sites within the city of São Paulo. It utilizes quantitative methodology to describe the perspectives of transgender and travesti people in relation to HIV cure research and the context in which such perspectives are produced.

Results: Of 118 participants, most participants (73%) had some knowledge of HIV cure research and were most willing to participate in online surveys (52%), interviews (52%), focus groups (52%), and studies involving blood draws (57%). Those with a higher education or employment status were more likely to agree that someone had been cured of HIV, people living with HIV are discriminated against, and more information about HIV cure research is needed before the community embraces it. Only 55% of participants completely trusted their physician. The biggest motivational factors included gaining additional knowledge about HIV infection (77%) and the potential for a longer, healthier life for all (73%).

Conclusions: As a primary analysis of HIV cure attitudes among the transgender and travesti population as well as the social context in which they are formed, this study identifies opportunities to strengthen the dialogue and develop more educational collaborations between scientific investigators, community educators, and the trans-identifying population to ensure that HIV cure research is inclusive of diverse perspectives.

HIV screening and testing among those identified as presumptive for TB, Sindh Pakistan.

A research project developed by the Trans Murder Monitoring (TMM) revealed that at least 235 trans or gender-diverse people were murdered in Latin America from October 2022 to September 2023. The highest number of victims was reported in Brazil, with 100 homicides. Mexico was the second deadliest country for trans people in Latin America, having registered 52 murders in the same period.

The Social Justice Sexuality Project (SJS) is one of the largest national surveys of Black, Latina/o, Asian and Pacific Islander, and multiracial lesbian, gay, bisexual, and transgender (LGBT) people. With over 5,000 respondents, the final sample includes respondents from all 50 states; Washington, DC, and Puerto Rico; in rural and suburban areas, in addition to large urban areas; and from a variety of ages, racial/ethnic identities, sexual orientations, and gender identities. The purpose of the SJS Project is to document and celebrate the experiences of lesbian, gay, bisexual and transgender (LGBT) people of color. All too often, when we think about LGBT people of color, it's from a perspective of pathology. In contrast, the SJS Project is designed and dedicated to describing a more dynamic experience. It's a knowledge-based study that investigates the sociopolitical experiences of this population around five themes: racial and sexual identity; spirituality and religion; mental and physical health; family formations and dynamics; civic and community engagement. Demographic variables include: race/ethnicity, sexual orientation, gender identity, age, education, religion, household, income, height, weight, location, birthplace, and political affiliation.Additional information about the SJS Project can be found on the Social Justice Sexuality Project Web site.

The World Health Organization (WHO) is revising the tenth version of the International Classification of Diseases and Related Health Problems (ICD-10). This includes a reconceptualization of the definition and positioning of Gender Incongruence of Childhood (GIC). This study aimed to: 1) collect the views of transgender individuals and professionals regarding the retention of the diagnosis; 2) see if the proposed GIC criteria were acceptable to transgender individuals and health care providers; 3) compare results between two countries with two different healthcare systems to see if these differences influence opinions regarding the GIC diagnosis; and 4) determine whether healthcare providers from high-income countries feel that the proposed criteria are clinically useful and easy to use. A total of 628 participants were included in the study: 284 from the Netherlands (NL; 45.2%), 8 from Flanders (Belgium; 1.3%), and 336 (53.5%) from the United Kingdom (UK). Most participants were transgender people (or their partners/relatives; TG) (n = 522), 89 participants were healthcare providers (HCPs) and 17 were both HCP and TG individuals. Participants completed an online survey developed for this study. Overall, the majority response from transgender participants (42.9%) was that if the diagnosis would be removed from the mental health chapter it should also be removed from the ICD-11 completely, while 33.6% thought it should remain in the ICD-11. Participants were generally satisfied with other aspects of the proposed ICD-11 GIC diagnosis: most TG participants (58.4%) thought the term Gender Identity Disorder should change, and most thought Gender Incongruence was an improvement (63.0%). Furthermore, most participants (76.1%) did not consider GIC to be a psychiatric disorder and placement in a separate chapter dealing with Gender and Sexual Health (the majority response in the NL and selected by 37.5% of the TG participants overall) or as a Z-code (the majority response in the UK and selected by 26.7% of the TG participants overall) would be preferable. In the UK, the majority response (35.8%) was that narrowing the GIC diagnosis was an improvement, while the NL majority response (49.5%) was that this was not an improvement. Although generally the results from HCPs were in line with the results from TG participants some differences were found. This study suggests that, although in an ideal world a diagnosis is not welcomed, several participants felt the diagnosis should not be removed. This is likely due to concerns about restricting access to reimbursed healthcare. The choice for positioning of a diagnosis of GIC within the ICD-11 was as a separate chapter dealing with symptoms and/or disorders regarding sexual and gender health. This was the overall first choice for NL participants and second choice for UK participants, after the use of a Z-code. The difference reflects that in the UK, Z-codes carry no negative implications for reimbursement of treatment costs. These findings highlight the challenges faced by the WHO in their attempt to integrate research findings from different countries, with different cultures and healthcare systems in their quest to create a manual that is globally applicable.

More than ******* Canadians were non-cisgender in 2021, according to census data. That year, the metropolitan areas with the largest populations of transgender women, transgender men, and non-binary people were Toronto, (Ontario), Montreal (Quebec), and Vancouver (British Columbia). Cisgender persons are persons who have reported that their sex assigned at birth is the same as their current gender. Transgender persons are persons whose sex assigned at birth was reported as female and whose current gender was reported as other than female; or persons whose sex assigned at birth was reported as male and whose current gender was reported as other than male. It also includes persons who were reported as being unsure of their gender or persons who were reported as both male and female, bi-gender, or neither male nor female.

The global neovaginal surgery market was valued at USD 2.4 billion in 2025 and is projected to reach USD 5.7 billion by 2033, exhibiting a CAGR of 8.98% during the forecast period. Rising prevalence of transgender surgeries, growing awareness about gender dysphoria, and increasing demand for cosmetic procedures, primarily driven by social media influence, are the primary factors fueling market growth. Transgender surgeries accounted for the largest share of the neovaginal surgery market in 2025. Vaginoplasty, in particular, is gaining traction due to advancements in surgical techniques and improved surgical outcomes. Reconstructive surgeries are also expected to witness significant growth due to the increasing incidence of childbirth injuries, trauma, and congenital abnormalities. The growing patient pool, particularly in emerging economies, and the expansion of healthcare facilities in these regions will further drive market expansion. Recent developments include: , Recent developments in the Neovaginal Surgery Market have showcased notable growth dynamics as several prominent players, such as B. Braun Melsungen, Smith and Nephew, and Medtronic, are increasingly investing in innovative surgical technologies. Investment in R&D for advanced minimally invasive surgical options has gained traction, thereby enhancing patient outcomes and operational efficiencies. Current affairs highlight the emphasis on regulatory compliance and safety standards as companies like Hologic and Olympus Corporation are leading discussions around best practices associated with neovaginal procedures. Additionally, the market has seen significant merger and acquisition activities. Notably, major players such as Abbott Laboratories and Boston Scientific have pursued strategic partnerships to broaden their product portfolios, resulting in improved market positioning and expanded access to advanced surgical solutions. The collaboration between Intuitive Surgical and other market leaders is anticipated to drive advancements in robotic surgical systems, positioning them favorably in an increasingly competitive landscape. The overall market valuation for neovaginal surgery has surged, reflecting heightened interest and investment, which is expected to facilitate new innovation and expand treatment options for patients, thereby improving overall healthcare delivery., Neovaginal Surgery Market Segmentation Insights. Key drivers for this market are: Growing transgender population needs, Increased awareness and acceptance; Advancements in surgical techniques; Rising investment in healthcare; Expansion of support services and networks. Potential restraints include: Rising transgender population, Advancements in surgical techniques; Increased awareness and acceptance; Growing healthcare expenditure; Supportive regulatory environment.

Demographic details of TGs in Larkana.