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.

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.

Selected socioeconomic characteristics of the transgender or non-binary population aged 15 and older, by age group. Marital status, presence of children under age 12 in the household, education, employment, personal income, Indigenous identity, the visible minority population, immigrant status, language(s) spoken most often at home, place of residence (population centre/rural), self-rated general health, and self-rated mental health. Estimates are obtained from combined cycles of the Canadian Community Health Survey, 2019 to 2021.

As of June 2022, the transgender population was estimated to reach over **** million in the United States. Transgender people aged between 25 and 64 were thought to make up the majority, with an estimated total of ******* trans people belonging to this age group. In comparison, there were also ******* youth between the ages of ** and ** estimated to identify as transgender in that year.

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.

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.

Most transgender people in Spain reported that they haven't changed their legal gender identity. According to the survey, ** percent of trans men and ** percent of trans women have not completed the process. At the same time, more than ** percent in both groups have started the process of changing their legal gender.

According to the most recent Canadian census data, there were ****** transgender and ****** non-binary persons between the ages of 15 and 34 years in 2021. These figures are higher than those for people over the age of **, and especially regarding non-binary people.
In the same year, two percent of Canadians between the ages of ** and ** identified as transgender, gender-fluid, non-binary or in other ways.

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.

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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

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.

Socioeconomic characteristics of the population aged 15 and older that is Two-Spirit, lesbian, gay, bisexual, transgender, and queer or who use other terms related to gender or sexual diversity (2SLGBTQ+), by gender, age group and geographic region. Marital status, presence of children under age 12 in the household, education, employment, personal income, Indigenous identity, the visible minority population, immigrant status, language(s) spoken most often at home, place of residence (population centre/rural), self-rated general health, and self-rated mental health. Estimates are obtained from combined cycles of the Canadian Community Health Survey, 2019 to 2021.

This dataset provides Census 2022 estimates for Trans Status or History (3 Groups) by Age (5 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

Financial overview and grant giving statistics of Transgender Michigan

Financial overview and grant giving statistics of Transgender American Veterans Association

Weighted descriptive statistics by marital status and gender, transmen.

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.

Population and percent identify transgender or gender non-conforming by Service Planning Area (SPA) from California Health Interview Survey (CHIS), 2015-2021 and 2019-2021 pooled years.Symbolized on the Equity Explorer by % Adults Transgender or Gender Non-conforming, years 2015-2021 (field = tgi_adult_pct_2015_2021).