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.

As of April 2024, 55 percent of the LGBT population lived in the 50 states and the District of Columbia where private health insurance service providers weren't allowed to deny coverage for transgender-related health care services, such as sex reassignment surgery. However, only 40 percent lived in states where health insurance protections included sexual orientation and gender identity.

LGBT Americans The share of Americans self-identifying as lesbian, gay, bisexual or transgender has grown in recent years. This suggests that insurance protections which cover LGBT-related health care services will also continue to grow in importance. The prevalence of younger Americans self-identifying as LGBT when compared with older generations confirms this. Millennials and Gen Xers are much more likely to personally identify as LGBT than previous generations were. Growing acceptance and tolerance in wider society means that more people are willing to be open about their gender identity and sexual orientation. For instance, support for same-sex marriage in the U.S. underwent a huge shift over the past two decades with the majority of Americans being in favor of it since 2011.

A survey conducted in 2021 found that around **** percent of people assigned male at birth still identify as male, while *** percent identified as female, and *** percent identified as transgender.

According to a survey conducted in 2024, ** percent of Americans thought that society has gone too far in accepting people who are transgender in the United States. ** percent of white Americans and ** percent of Hispanic Americans also shared this belief, compared to only ** percent of Black Americans.

The IPUMS Contextual Determinants of Health (CDOH) data series includes measures of disparities, policies, and counts, by state or county, for historically marginalized populations in the United States including Black, Asian, Hispanic/Latina/o/e/x, and LGBTQ+ persons, and women. The IPUMS CDOH data are made available through ICPSR/DSDR for merging with the National Couples' Health and Time Study (NCHAT), United States, 2020-2021 (ICPSR 38417) by approved restricted data researchers. All other researchers can access the IPUMS CDOH data via the IPUMS CDOH website. Unlike other IPUMS products, the CDOH data are organized into multiple categories related to Race and Ethnicity, Sexual and Gender Minority, Gender, and Politics. The CDOH measures were created from a wide variety of data sources (e.g., IPUMS NHGIS, the Census Bureau, the Bureau of Labor Statistics, the Movement Advancement Project, and Myers Abortion Facility Database). Measures are currently available for states or counties from approximately 2015 to 2020. The Sexual and Gender measures in this release include the proportion of a state's population identifying as LGBTQ+ in the U.S. Census Bureau's Household Pulse Survey, Phases 3.2 (07/21/2021-10/11/2021), 3.3 (12/01/2021-02/07/2022), 3.4 (03/02/2022-05/09/2022), and 3.5 (06/01/2022-08/08/2022). To work with the IPUMS CDOH data, researchers will need to first merge the NCHAT data to DS1 (MATCH ID and State FIPS Data). This merged file can then be linked to the IPUMS CDOH datafile (DS2) using the STATEFIPS variable.

In 2023, 7.6 percent of adults surveyed in the United States stated they identify as lesbian, gay, bisexual, or transgender (LGBT). This is an increase from 2012, when 3.5 percent of surveyed adults identified as LGBT. These four categories are among the most common sexual orientations and gender identities outside cis-heterosexuals.

Differences across ages and genders 

Zooming in, it is possible to see how the share of people identifying as LGBT changed considerably according to different demographics. Only two percent of Baby Boomers, indeed, reported being part of the LGBT community. On the other hand, among Generation Z individuals, this share reached almost 16 percent. Moreover, surveys suggest that women were more likely to identify as LGBT than men.

An ever-understanding society 

The fact that an increasing amount of people feel free and safe to openly identify as LGBT might be a consequence of the improved acceptance of the different sexual orientations and genders by the American people at large. While in 2001 more than half of U.S. citizens considered homosexual relationships to be morally wrong, 20 years later this percentage dropped to 30 percent. Support for same-sex marriage has also been consistently increasing, even among traditionally conservative political groups. Despite this, it is important to remember that every year hundreds of people are still victims of hate crimes in the United States simply because of their gender or sexual orientation.

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US Sex Reassignment Surgery Market Size 2024-2028

The us sex reassignment surgery market size is valued to increase USD 137 million, at a CAGR of 10.87% from 2023 to 2028. Increase in number of people opting for sex change surgeries in US will drive the us sex reassignment surgery market.

Major Market Trends & Insights

By Type - Male to female segment was valued at USD 92.60 million in 2022
By End-user - Hospitals segment accounted for the largest market revenue share in 2022

Market Size & Forecast

Market Opportunities: USD 132.24 million
Market Future Opportunities: USD 137.00 million
CAGR from 2023 to 2028 : 10.87%

Market Summary

The Sex Reassignment Surgery Market in the US is a continually evolving landscape shaped by advancements in core technologies and applications, service types, and regulatory frameworks. According to recent studies, the number of people undergoing sex reassignment surgeries in the US has been on the rise, with an estimated 30,700 procedures performed in 2020, representing a significant increase from previous years. This trend can be attributed to the growing awareness and acceptance of transgender individuals, as well as advancements in surgical techniques and materials. However, the market faces challenges, including high costs, potential side effects, and ongoing regulatory debates. For instance, some common side effects of sex reassignment surgeries include scarring, infection, and complications related to hormone therapy. Despite these challenges, opportunities abound, particularly in the development of less invasive procedures and the expansion of insurance coverage for transgender healthcare.

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

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How is the Sex Reassignment Surgery in US Market Segmented and what are the key trends of market segmentation?

The sex reassignment surgery in us industry 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. TypeMale to femaleFemale to maleEnd-userHospitalsClinicsGeographyNorth AmericaUS

By Type Insights

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

The Sex Reassignment Surgery (SRS) market in the US continues to evolve, with a focus on evidence-based practices and individualized patient care. Prior to surgical interventions, patients undergo extensive evaluations, including psychological assessments and hormone replacement therapy to ensure patient selection criteria are met. Surgical procedures, such as vaginoplasty, chest reconstruction, and facial feminization surgery, employ various techniques like grafting, implant selection, and tissue expansion. These surgeries often involve complications, such as surgical complications, surgical planning, and long-term follow-up, necessitating adherence to guidelines and informed consent processes. Patients may also opt for anesthesia protocols, prosthetic fitting, and scar management. Ethical considerations, including fertility preservation and social transition support, are integral to the process. The surgical outcomes vary, with patient satisfaction metrics influenced by factors like recovery timelines, adherence to guidelines, and surgical techniques. Key statistics indicate that around 1 in 3 transgender individuals in the US undergo some form of SRS, highlighting the significance of this market.

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The Male to female segment was valued at USD 92.60 million in 2018 and showed a gradual increase during the forecast period.

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Market Dynamics

Our researchers analyzed the data with 2023 as the base year, along with the key drivers, trends, and challenges. A holistic analysis of drivers will help companies refine their marketing strategies to gain a competitive advantage.

The US sex reassignment surgery market encompasses a range of procedures and services aimed at helping individuals undergo gender transition. This market is characterized by a growing demand for advanced surgical techniques and comprehensive patient care. Preoperative hormonal therapy protocols play a crucial role in preparing patients for surgery, while postoperative complications management ensures optimal recovery. Facial feminization surgical techniques and genital reconstruction surgical approaches are key focus areas, with continuous advancements in tissue expansion techniques, graft selection criteria, and implant material selection driving innovation. Chest reconstruction surgical options, such as breast augmentation and top surgery, are also in high demand. Hormone replacement therapy regimens and psychological supp

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.

According to a survey conducted in 2022, ** percent of transgender people in the United States said that none of their identity documents (IDs) list the gender they wanted. ** percent also reported that none of their IDs listed the name that they wanted. In that year, transgender people in the United States were also negatively affected by anti-trans laws, such as banning access to bathrooms, healthcare, or sports, with ** percent agreeing that they have considered moving away due to such state action.

As of June 2022, over half of transgender adults in the United States were white, while **** percent were Latinx and ** percent were Black.

Weighted descriptive statistics by marital status and gender, transmen.

According to a survey conducted in 2025, ** percent of Americans were in favor of allowing openly transgender men and women to serve in the military in the United States. Democrats were more likely to share this belief, at ** percent, compared to only ** percent of Republicans.

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

According to a survey conducted in 2024, Americans were most likely to support a policy expanding transgender rights by including protections for transgender people in hate-crime laws, with ** percent of respondents supporting this policy. A further ** percent supported a policy that would ban employers from firing employees based on their transgender identity.

In 2022, ** percent of transgender adults and ** percent of transgender people of color reported that in the past year, providers had refused to provide them with reproductive or sexual health services due to their actual or perceived gender identity. Overall, transgender people of color in the U.S. experienced a higher rate of health care refusals from providers in comparison to white transgender people.

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.

In 2023, around ** percent of the Black people interviewed in the United States thought transgender people face a great deal of discrimination. In comparison, the share of Hispanic and white people who shared this view was about ** and ** percent, respectively.

In 2024, 14.2 percent of Millennials in the United States stated that they identify as LGBTQ+, while in 2012, less than six percent of respondents from the same generation said the same. Members of Generation Z were the most likely to identify as LGBTQ+, at over 23 percent.

In 2023, 8.5 percent of female respondents in the United States stated they identify as LGBT, while 4.7 percent of male respondents said the same. This is an increase from 2012, when 3.5 percent of female respondents and 3.4 percent of male respondents identified as LGBT.

A survey conducted in 2024 found that ** percent of Americans believe that transgender people face a lot of discrimination in the United States. A further ***** percent felt that trans people do not face any discrimination.