As of February 10, 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, 10 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 eight 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 seven percent were living in a state which 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.

Stats NZ introduced questions on sexual identity and gender to HES for the year ended June 2021, to help provide a more accurate and inclusive picture of New Zealanders that, amongst other dimensions, would reflect the diversity of genders and sexual identities in Aotearoa.

A survey conducted in 2021 found that around 97.3 percent of people assigned male at birth still identify as male, while 0.4 percent identified as female, and 0.6 percent identified as transgender.

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.

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.

Supplementary file 1: Data for serum/plasma laboratory tests with sex-specific reference intervals performed on patients with sexual orientation/gender identity (SOGI) field differences for legal sex/sex assigned at birth (SAAB)/gender identity (GI) in the electronic medical record (EMR) at the University of Iowa Hospitals and Clinics from January 1, 2021 to December 31, 2021. The data elements include: deidentified patient number, age (years) at time of laboratory testing, location type (outpatient, inpatient, or emergency department) at time of specimen collection, legal sex in EMR, SAAB in EMR, GI in EMR, presence of SOGI mismatch (yes/no), change of legal sex in EMR, gender-affirming gonadectomy (yes/no), GI from chart review, gender-affirming hormone and route of administration, values for tests for 17 laboratory tests, and how the values of these 17 laboratory tests were relative to age-matched reference intervals for cisgender men and women. Assays details and reference intervals are summarized in Supplemental file 3. Chart review for SOGI fields previously reported [1]. There are a total of 1,166 unique patients (all 18.0 years or older) and 7,530 laboratory tests.

Supplementary file 2: Data for plasma creatinine performed for patients 18.0 years or older taking gender-affirming estradiol or testosterone at the University of Iowa Hospitals and Clinics from January 1, 2021 to December 31, 2021. The data elements include: deidentified patient number, age (years) at time of laboratory testing, location type at time of specimen collection, legal sex in EMR, SAAB in EMR, GI in EMR, GI from chart review, gender-affirming hormone and route of administration, self-declared race in EMR (African-American or not), plasma creatinine (mg/dL), estimated glomerular filtration rate (eGFR) calculation using female sex and the 2021 CKD-EPI equation without race refit, eGFR using male as sex, and chronic kidney disease (CKD) stage using either female or male as sex. eGFR equation and CKD stages are from references 2 and 3, respectively. There are a total of 620 unique patients and 1,469 plasma creatinine values.

Supplementary file 3: Includes Supplemental Table 1 with details on laboratory assay and Supplemental Table 2 with reference intervals for the laboratory tests analyzed.

Data tabs for Supplemental Files 1 and 2 include one for primary data and another defining abbreviations.

[1] N.G. Hines et al, Patterns of gender identity data within electronic health record databases can be used as a tool for identifying and estimating the prevalence of gender-expansive people, JAMIA Open 6 (2) (2023) ooad042. DOI: 10.1093/jamiaopen/ooad042.

[2] C. Delgado et al., A Unifying Approach for GFR Estimation: Recommendations of the NKF-ASN Task Force on Reassessing the Inclusion of Race in Diagnosing Kidney Disease, Am J Kidney Dis 79 (2) (2022) 268-288 e261. DOI: 10.1053/j.ajkd.2021.08.003.

[3] Kidney Int Suppl (2011) 3 (1) (2013) 5-14.

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

This layer shows Household Pulse Survey data on gender identity and sexual orientation. Gender identity is the internal perception of gender, and how one identifies based on how one aligns or doesn’t align with cultural options for gender. This is a different concept than sex assigned at birth. Sexual orientation is the type of sexual attraction one has the capacity to feel for others, generally labeled based on the gender relationship between the person and the people they are attracted to. This is not the same as sexual behavior or preference.Learn more about how the Census Bureau survey measures sexual orientation and gender identity. This page includes nation-wide characteristics such as age, Hispanic origin and race, and educational attainment. Also read some of their findings about experiences during the COVID-19 pandemic, such as lesbian, gay, bisexual, or transgender (LGBT) adults experiencing higher rates of both economic hardship and mental health hardship. See the questionnaire used in phase 3.2 of the Household Pulse Survey.Source: Household Pulse Survey Data Tables. Data values in this layer are from Week 34 (July 21 - August 2, 2021), the first week that gender identity and sexual orientation questions were part of this survey. Top 15 metros are based on total population and are the same 15 metros available for all Household Pulse Data Tables.This layer is symbolized to show the percent of adults who are lesbian, gay, bisexual, or transgender (LGBT) as well as adults whose gender or sexual orientation was not listed on the survey (LGBTQIA+). The color of the symbol depicts the percentage and the size of the symbol depicts the count. *Percent calculations do not use those who did not report either their gender or sexual orientation in either the numerator or denominator, consistent with methodology used by the source.*Data Prep Steps:Data prep used Table 1 (Child Tax Credit Payment Status and Use, by Select Characteristics) to perform tabular data transformation. SAS to Table conversion tool was used to bring the tables into ArcGIS Pro.The data is joined to 2019 TIGER boundaries from the U.S. Census Bureau.Using the counties in each metro according to the Metropolitan and Micropolitan Statistical Area Reference Files, metro boundaries created via Merge and Dissolve tools in ArcGIS Pro.In preparing the field aliases and long descriptions, "none of these" and "something else" were generally modified to "not listed."

As reported by the most recent Canadian census data, 0.3 percent of the Canadian population aged 15-19 were non-binary. While gender non-binarity concerns a small portion of the population, this proportion is much higher than among Canadians over 35. A similar observation can be made regarding transgender people: while the trans population represents only 0.19 percent of Canadians, 0.44 percent of 15-19 year olds were transgender men or women, compared with 0.13 percent among 50-54 year olds.

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.

In 2022, eight percent of LGBQ respondents, including 13 percent of LGBQ people of color and 16 percent of LGBQ+ transgender respondents reported that in the past year, they have experienced refusal by a health care provider to treat their family member, including a child or a same-sex spouse or partner. The statistic illustrates the share of U.S. LGBTQ+ adults who experienced various types of health care refusals by health care providers in the past year in the U.S. as of 2022, by sexuality and race.

According to a survey conducted in 2022, 59 percent of transgender people in the United States said that none of their identity documents (IDs) list the gender they wanted. 48 percent also reported that none of their IDs list 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 47 percent agreeing that they have considered moving away due to such state action.

Gender classification definitions of respondents and proportions, weighted percent ± standard error (SE) (n = 31,898 respondents).

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.

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

As of 2021, approximately 316,258 persons in Mexico self-identifed as transgender or transsexual, while almost 600,000 self-identified as fluid gender, non-binary, or asexual.

According to a survey conducted in 2024, 42 percent of Americans thought that society has gone too far in accepting people who are transgender in the United States. 46 percent of white Americans and 41 percent of Hispanic Americans also shared this belief, compared to only 26 percent of Black Americans.

In India, the state of Maharashtra, had a transgender population of approximately 19 percent from 2010 to 2011. Tamil Nadu on the other hand had a lower transgender population which was roughly four percent of the population.

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.