According to the census of 2021, approximately 262,113 people in England and Wales indicated that their gender identity was different to their sex registered at birth, or around 0.5 percent of the population. Among these people, 117,775 gave no specific identity, with a further 48,435 trans men, 47,572 trans women, 30,257 non-binary people, and 18,074 who had other gender identities.

Important notice

The Office for Statistics Regulation confirmed on 12/09/2024 that the gender identity estimates from Census 2021 are no longer accredited official statistics and are classified as official statistics in development.

For further information please see: Sexual orientation and gender identity quality information for Census 2021

These datasets provide Census 2021 estimates that classify usual residents aged 16 years and over in England and Wales for gender identity by sex, gender identity by age and gender identity by sex and age.

Gender identity

Gender identity refers to a person's sense of their own gender, whether male, female or another category such as non-binary. This may or may not be the same as their sex registered at birth.

Non-binary

Someone who is non-binary does not identify with the binary categories of man and woman. In these results the category includes people who identified with the specific term "non-binary" or variants thereon. However, those who used other terms to describe an identity that was neither specifically man nor woman have been classed in "All other gender identities".

Sex

This is the sex recorded by the person completing the census. The options were "Female" and "Male".

Trans

An umbrella term used to refer to people whose gender identity is different from their sex registered at birth. This includes people who identify as a trans man, trans woman, non-binary or with another minority gender identity.

Trans man

A trans man is someone who was registered female at birth, but now identifies as a man.

Trans woman

A trans woman is someone who was registered male at birth, but now identifies as a woman.

Usual resident

A usual resident is anyone who on Census Day, 21 March 2021, was in the UK and had stayed or intended to stay in the UK for a period of 12 months or more, or had a permanent UK address and was outside the UK and intended to be outside the UK for less than 12 months.

Notes:

• To ensure that individuals cannot be identified in the data, population counts have been rounded to the nearest five and counts under 10 have been suppressed.

• Percentages have been calculated using rounded data.

The number of hate crimes committed against transgender people in England and Wales has increased in recent years, reaching 4,732 offences in 2022/23, and only declining slightly to 4,780 offences in 2023/24.

No country in Europe had a majority of transgender people saying that they had undergone gender affirming or gender reassignment surgery in 2019, with the Netherlands having the greatest share of any country, at 48 percent. On average only a quarter of trans people in the EU had undergone surgery to alter their appearance in line with their gender identity.

Middlesbrough’s current population was estimated to be 140,398 in 2016 by the Office of National Statistics (Mid-year population estimates 2016). With a total area of 5,387 hectares, Middlesbrough is the smallest and second most densely-populated local authority area in the north east. Significant changes in the population demographics of Middlesbrough since the 2001 Census highlight an increasingly diverse and ageing population in the town.Age[1]Middlesbrough has a younger population than both the national and regional averages, however there has been significant growth in the ageing population since Census 2001.20.58% of Middlesbrough’s resident population are Children and Young People aged 0 to 15 years. This is higher than the England rate of 19.05% and the north east rate of 17.74%.63.56% are ‘working age’ between 16 and 64 years. This is higher than both the England rate of 63.07% and the north east rate of 63.01%.15.90% are ‘older people’ aged over 65 years. This is lower than both the England rate of 17.88% and the north east rate of 19.25%.Gender [2]50.85% of Middlesbrough’s population were estimated to be female. This is in line with both the England rate of 50.60% and the north east rate of 50.92%49.15% of Middlesbrough’s population were estimated to be male. This is in line with the England rate of 49.40% and the north east rate of 49.08%.Women in Middlesbrough live longer than men, with 17.62% of women are aged over 65 years. This is lower than both the England rate of 19.75% and the north east rate of 21.43%The gender breakdown of Council employment figures is 70.57% women and 29.42% men. This is not reflective of the wider labour market figures of 47% and 53% respectively[3] though it is broadly comparable with the employment levels in other local authorities.[4]Sexual Orientation[5]Office for National Statistics has estimated that 94.6% of Middlesbrough’s population identify as heterosexual or straight, with 1.2% identifying as gay or lesbian, 0.4% identify as bisexual, as a result of the Annual Population Survey 2016. This is higher than the north east region and England.Ethnic Diversity[6]Middlesbrough is the most ethnically diverse local authority area in the Tees Valley, with a British Minority Ethnic population of 11.7% identified at Census 2011, an increase of 86% since 2001 and which is projected to grow further.88.18% of Middlesbrough’s resident population were classed as White (with various sub-groups) this was lower than the north east rate of 93.63% but higher than the England rate of 79.75%. Middlesbrough is the second most ethnically diverse local authority in the north east, behind Newcastle upon Tyne with 81.92% classed as White.7.78% were classed as Asian/Asian British (with sub-groups), this is higher than the north east rate of 2.87% but slightly lower albeit in lien with the England rate of 7.82%. Again, Middlesbrough is only behind Newcastle upon Tyne on this measure (9.67%), however has the highest percentage in the Tees Valley.1.71% of the population were identified as Mixed/Multiple ethnic groups (with sub-groups), this was higher than the north east rate of 0.86% but slower than the national rate of 2.25%. Middlesbrough had the highest percentage of this group in the north east.1.25% of the population were identified as Black/Africa/Caribbean/Black British, this was higher than the north east rate of 0.51% but lower than the England rate of 3.48%. Middlesbrough is only behind Newcastle upon Tyne on this measure (1.84%), however has the highest percentage in the Tees Valley.1.08% of the population were identified as Other Ethnic Group, this was higher than both the England rate of 1.03% and the north east rate of 0.43%. Middlesbrough is only behind Newcastle upon Tyne with 1.46%, however has the highest percentage in the Tees Valley.8.2% of Middlesbrough’s total population were born outside of the UK as at census 2011, this was lower than the England rate of 8.21% but almost double the north east rate of 4.95%. Middlesbrough has the highest percentage of residents born outside of the UK in the Tees Valley, however it is second behind Newcastle upon Tyne in the north east.15.74% of Asylum seekers in the north east were reported to be resident in Middlesbrough in the period October to December 2017 (Q4). Newcastle upon Tyne has the highest rate with 23.66%, followed by Stockton-on-Tees with 19.73%, this places Middlesbrough third in the north east and second in the Tees Valley.ONS reports a rise in the number of Non-British nationals per 1,000 of the resident population, with 51.1 in 2011 and 72.5 in 2015. This is higher than the north east with 27.7 rising to 34.3 and lower than England at 83.5 rising to 93.2Gender Identity[7]The Gender Identity Research & Education Society (GIRES) estimates that about 1% of the British population are gender nonconforming to some degree. The numbers of Trans boys and Trans girls are about equal. The number of people seeking treatment is growing every year.Based on GIRES estimate, around 1,400 members of Middlesbrough’s population could be gender nonconforming, however this is an estimate.Whilst there is a requirement for data on gender identity, there are currently no means for recording it. The Office for National Statistics is currently considering the addition of a question on Gender Identity for the 2021 Census, however at this time it is under consultation as to how it will be added and worded to best suit this group of the population.Religion and Belief71.59% of Middlesbrough’s resident population were identified as having religion in the 2011 census. This is higher than both England with 68.09% and the north east with 70.52%22.25% of the population were identified as having no religion, this was lower than both England with 24.74% and the north east with 23.40%.6.16% of the population did not state their religion, this was lower than England with 7.18%, but higher than the north east with 6.08%.63.23% of the population were identified as Christian, this was higher than England with 59.38% but lower than the north east with 67.52%.7.05% of the population were identified as Muslim, this was higher than both England with 5.02% and the north east with 1.80%. Middlesbrough has the highest Muslim population in the north east and the Tees Valley.The remaining proportion of the population were identified as Buddhist, Hindu, Jewish, Sikh and ‘Other religion’ each accounting for less than 1% of the population. This trend is seen in the England and north east averages.

The Metropolitan Police in London recorded 520 transgender hate crime incidents in the 2023/24 reporting year, which was the most of any police force in England and Wales. Greater Manchester Police reported 314 transgender hate crime incidents, with West Yorkshire Police reporting 273.

This dataset provides Census 2022 estimates for Trans Status or History (7 Groups) by Age (15 Groups) in Scotland.

Transgender

Scotland’s Census included a new question on trans status or history in 2022. This means there is not comparable data for previous censuses.

The question was “Do you consider yourself to be trans, or have a trans history?”. People were asked to tick “No” or “Yes”. People who ticked “Yes” were asked to describe their trans status (for example, non-binary, trans man, trans woman).

Transgender or trans is a term used to describe people whose gender is not the same as the sex they were assigned at birth.

This was a voluntary question for people aged 16 and over.

Age

A person's age on Census Day, 20 March 2022. Infants aged under 1 year are classified as 0 years of age.

The quality assurance report can be found here

According to a survey of LGBT+ workers in the United Kingdom, approximately 20 percent of LGB+ employees felt they had being undermined or humiliated at their place of work, with this rising to 39 percent for Trans people. Being undermined or humiliated was the most common experience of conflict among LGBT+ workers, although a significant share of LGBT+ workers had also experienced heated arguments / shouting, at 23 percent of Trans workers and 14 percent of LGB+ ones.

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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

Frequency Table of Gender Assigned at Birth, Gender Identity, and Level of Education (and Percentages for each Column).

Number of Times a Response was given (and Percentage of Participants that Selected the Response Option) in the Dutch (NL) and United Kingdom (UK) Survey Regarding the Statement: ‘Would You Consider it an Improvement if the Scope of the Diagnosis were Widened?’

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.

Frequency Table (and Percentage of Column) of Responses to the Question: How do You Feel About Limiting the Duration of Gender Incongruence to a Few Months?

Frequency Table (and Percentage of Column) of Opinions Regarding the Statement: In what chapter of the ICD-11 do you think the diagnosis of gender incongruence for adolescents/adults should be included?

Do You Think That Would be an Improvement?’.

Frequency Table (and Percentage of Column) of Responses of Transgender Participants to the Question: How do you feel about removing the distress criterion from the children’s diagnosis (when you think about the children’s diagnosis and the diagnosis for adults)?