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.

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

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.

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.

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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 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.

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.

This dataset contains data included in the San Diego County Regional Equity Indicators Report led by the Office of Equity and Racial Justice (OERJ). The full report can be found here: https://data.sandiegocounty.gov/stories/s/7its-kgpt.

Geographic data used to create maps in the report can be found here: https://data.sandiegocounty.gov/dataset/Equity-Report-Data-Geography/p6uw-qxpv

Filter by the Indicator column to select data for a particular indicator.

User notes: 10/9/25 - for the report year 2025, data for the following indicators were uploaded with changes relative to report year 2023: Crime Rate: As of January 1, 2021, the FBI replaced the Summary Reporting System (SRS) with the National Incident Based Reporting System (NIBRS), which expands how crimes were recorded and classified. This report uses California’s version of NIBRS, the California Incident Based Reporting System (CIBRS), obtained from the SANDAG Open Data Portal. Crime rates are not disaggregated by jurisdiction, as in the previous Equity Indicator Report. Internet access: The age group variable was incorporated to account for notable disparities in internet access by age. Police Stops and Searches: refined methods. Agency data was aggregated to San Diego County because data was available for all agencies; previously data was available for three agencies. Analysis of RIPA data was updated to exclude stops where the stop was made in response to a call for service, combine transgender women and transgender men into a transgender category, and limit to contraband found during search. Used term “discovery rate” instead of “hit rate.” Removed comparison to traffic collision data and instead compared to population estimates from the American Community Survey. Jail Incarceration: new data sources. The numerator data for the average daily population data in jail was obtained from the San Diego County Sheriff's Office. Population data to calculate the rates was obtained from the San Diego Association of Governments (SANDAG). The terms for conviction status were corrected to "locally sentenced" and "unsentenced" for sentencing status. For jail population data, East African was reclassified as Black and Middle Eastern as White to allow for calculation of rates using SANDAG population estimates.

8/1/25 - for the report year 2025, the following change were made: Business Ownership: the minority and nonminority labels were switched for the population estimates and some of the race/ethnicity data for nonemployer businesses were corrected. Homelessness: added asterisks to category name for unincorporated regions to allow for a footnote in the figure in the story page.

7/11/25 - for the report year 2025, the following changes were made: Beach Water Quality: the number of days with advisories was corrected for Imperial Beach municipal beach, San Diego Bay, and Ocean Beach.

5/22/25 - for the report year 2023, the following changes were made: Youth poverty/Poverty: IPUMS identified an error in the POVERTY variable for multi-year ACS samples. In July 2024, they released a revised version of all multi-year ACS samples to IPUMS USA, which included corrected POVERTY values. The corrected POVERTY values were downloaded, and the analysis was rerun for this indicator using the 2021 ACS 5-year Estimates. Youth Poverty: data source label corrected to be 2021 for all years. Employment, Homeownership, and Cost-Burdened Households - Notes were made consistent for rows where category = Race/Ethnicity.

5/9/25 - Excluding data for the crime section indicators, data were appended on May 9, 2025 and the report will be updated to reflect the new data in August 2025. The following changes in methods were made: For indicators based on American Community Survey (ACS) data, the foreign-born category name was changed to Nativity Status. Internet access: Group quarters is a category included in the survey sample, but it is not part of the universe for the analysis. For the 2025 Equity Report year, respondents in group quarters were excluded from the analysis, whereas for the 2023 Equity Report year, these respondents were included. Adverse childhood experiences - new data source.

Prepared by: Office of Evaluation, Performance, and Analytics and the Office of Equity and Racial Justice, County of San Diego, in collaboration with the San Diego Regional Policy & Innovation Center (https://www.sdrpic.org).

In the United States, the share of Americans who identify as lesbian, gay, bisexual, transgender, or something other than heterosexual has more than doubled in the last 12 years, from *** percent in 2012 to *** percent in 2024.

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 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 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.

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.

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.

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 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.

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.