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.

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.

As of June 2022, over half of transgender adults in the United States were white, while 21.7 percent were Latinx and 13 percent were Black.

As of June 2022, almost half of transgender youth aged 13 to 17 years in the United States were white, at 46.3 percent. A further 31 percent were Latinx and 13.2 percent were Black.

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 2022, 21 percent of transgender adults and 28 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.

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.

As of February 10, 2025, the majority of transgender youth aged 13 to 17 years in the United States were living in states that did not force schools to out transgender students to their families, at 85 percent. Of the remaining, seven percent were either living in states that forced the outing of trans youth if they made specific disclosures or requests about their gender identity to school staff, or living in states requiring school staff to out trans students before they can use their preferred names and pronouns. A further one percent were living in states that forced the outing of trans youth only if parents asked school staff for the information.

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.

According to a survey conducted in 2021, transgender and nonbinary students were most likely to report that their school does not have policies or guidelines to support them in the United States, at 55.7 percent. In comparison, only 35.8 percent of transgender and nonbinary students reported having supportive school policies in that year.

The US gender reassignment surgery market is experiencing robust growth, driven by increasing societal acceptance of transgender individuals, advancements in surgical techniques resulting in improved outcomes and patient satisfaction, and expanding access to healthcare coverage for gender-affirming care. The market's Compound Annual Growth Rate (CAGR) of 12.50% from 2019-2024 suggests a significant expansion, indicating a substantial and growing demand for these procedures. This growth is fueled by a rising transgender population seeking medical transition, coupled with increased awareness and advocacy efforts promoting access to gender-affirming surgeries. The market segmentation reveals a substantial portion dedicated to male-to-female (MTF) surgeries, encompassing procedures like feminizing vaginoplasty, augmentation mammoplasty, and facial feminization. Female-to-male (FTM) surgeries, including phalloplasty and hysterectomy, also contribute significantly, though potentially with a slightly smaller market share. The primary end-users are hospitals and specialized clinics equipped to handle the complex nature of these procedures, reflecting the need for experienced surgeons and advanced medical facilities. While precise market figures for the US are unavailable in the provided data, based on the global CAGR and considering the significant US healthcare market, a reasonable estimate for the 2025 US market size could be in the range of $500 million to $750 million, assuming a proportionally larger US market share compared to other regions. The key players in the US market comprise a mix of specialized transgender healthcare centers and established cosmetic surgery practices. This competitive landscape drives innovation and improvements in surgical techniques, further stimulating market growth. However, factors such as high procedure costs, limited insurance coverage in certain areas, and the potential for lengthy wait times due to high demand could act as restraints. Future growth will depend on continued progress in surgical techniques, expanded insurance coverage, legislative changes increasing access to care, and ongoing efforts to destigmatize gender transition. Geographic variations in access to care and societal acceptance will also influence the growth trajectory across different regions within the US. The forecast period of 2025-2033 promises a substantial expansion, projecting a larger market size in 2033 due to the continued influence of the factors mentioned above, further solidifying the position of gender reassignment surgery as a significant segment within the broader healthcare landscape. Recent developments include: April 2023: Governor Murphy signed Executive Order No. 326 establishing New Jersey as a safe haven for gender-affirming health care by directing all state departments and agencies to protect all persons, including health care professionals and patients, against potential repercussions resulting from providing and receiving assisting in providing or receiving, seeking, or traveling to New Jersey to obtain gender-affirming health care services., September 2022: The World Professional Association for Transgender Health (WPATH), headquartered in the United States, updated its Standards of Care and Ethical Guidelines for health professionals. Among the updates is a new suggestion to lift the age restriction for youth seeking gender-affirming surgical treatment, in comparison to the previous suggestion of surgery at 17 or older.. Key drivers for this market are: Growing Burden of Gender Dysphoria, Rising Government Initiatives and Reimbursements. Potential restraints include: Growing Burden of Gender Dysphoria, Rising Government Initiatives and Reimbursements. Notable trends are: Facial Feminization Procedures Segment is Expected to Have Significant Growth in the Market Over the Forecast Period.

According to a survey in 2023, more than two thirds of Americans believed that transgender people were discriminated against at least to some extent in the United States. Meanwhile, only ten percent felt transgender people did not receive discrimination.

As of February 10, 2025, 37 percent of transgender adolescents aged 13 to 17 years in the United States were living in a state that banned best practice medication and surgical care for transgender youth, while three percent were living in a state that bans best-practice surgical care. Such legislation typically aims to restrict access to gender-affirming medical care for transgender people under 18, despite evidence to show that medical care bans increase the risk of harm for trans youth when they are forced to find care elsewhere. Laws targeting transgender students Recently, there has been a rise in state legislation restricting LGBTQ+ youth in the United States, particularly in K-12 schools. A growing number of transgender students have been banned from playing on school sports teams corresponding to their gender identity, and restricted from accessing their preferred bathrooms or locker rooms. Additionally, there has been an increase in laws that explicitly require teachers and staff to tell parents that their child is transgender, despite the risk of students facing harm from potentially unsupportive families.

Weighted descriptive statistics by marital status and gender, transmen.

According to a survey conducted in 2024, 61 percent of Americans were in opposition of allowing transgender student athletes to play on sports teams that match their gender identity, rather than the gender they were assigned at birth, in the United States. In contrast, only 23 percent of respondents supported allowing transgender student athletes to play on sports teams consistent with their gender identity, while 16 percent were unsure.

The global gender reassignment surgery (GRS) market is experiencing robust growth, driven by increasing societal acceptance of transgender individuals, advancements in surgical techniques resulting in improved outcomes and reduced complications, and expanding access to healthcare services, including gender-affirming care. The market's compound annual growth rate (CAGR) of 12.20% from 2019 to 2024 suggests a significant upward trajectory. While precise market size figures for 2019-2024 are unavailable, considering the CAGR and the market's projected value in 2025 (which we'll estimate later), we can infer substantial market expansion during this period. The segmentation by surgery type (male-to-female and female-to-male) reflects the diverse needs within the transgender community, and understanding the market share of each segment is crucial for targeted market analysis. Geographic variations exist; North America and Europe currently hold larger market shares due to higher acceptance rates and greater access to specialized medical facilities. However, Asia-Pacific, driven by increasing awareness and changing social attitudes, is anticipated to witness rapid growth in the coming years. Factors such as the cost of surgery, limited insurance coverage in certain regions, and lingering societal stigma remain constraints to broader market penetration. To illustrate market size projections, let's assume a 2025 market value of $500 million (a reasonable estimate considering the growth rate and industry dynamics). Using the 12.20% CAGR, we can extrapolate the market size for subsequent years in the forecast period (2025-2033). Further segmentation based on the listed regions (North America, Europe, Asia Pacific, Middle East & Africa, South America) would require specific data, but based on current trends, a significant portion of the market will likely be concentrated in North America and Europe, with Asia-Pacific showing the most substantial growth. The leading companies listed – including Mount Sinai, Boston Medical Center, and several specialized clinics – underscore the involvement of both large healthcare systems and smaller, specialized surgical centers in the provision of GRS services. Further research into the specific market shares of each segment and region would yield a more granular understanding of this dynamic market. Recent developments include: In February 2022, The Bellvitge University Hospital in L'Hospitalet de Llobregat (Barcelona) carried out the surgery using a surgical robot to conduct a vaginoplasty with a peritoneal flap on a 30-year-old patient. It is one of the first gender reassignment operations in Europe carried out by robots., In February 2022, Carillion Point Surgery Center opened its doors as an outpatient ambulatory surgery center for surgeons needing a professional, Medicare-certified environment to perform gender-confirming surgeries in addition to general plastic and cosmetic surgeries.. Key drivers for this market are: Growing Burden of Gender Dysphoria and Rising Awarneness for Transgender Related Problems, Rising Government Initiatives. Potential restraints include: Growing Burden of Gender Dysphoria and Rising Awarneness for Transgender Related Problems, Rising Government Initiatives. Notable trends are: Male to Female Segment Of the Market is Expected to Project Significant Growth Over the Forecast Period.

In 2023, around 48 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 45 and 40 percent, respectively.

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

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.