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.

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.

Snapshot img

US Sex Reassignment Surgery Market Size 2024-2028

The US sex reassignment surgery market size is forecast to increase by USD 137 million at a CAGR of 10.87% between 2023 and 2028.

The sex reassignment surgery market in the US is experiencing significant growth due to several key factors. The number of individuals undergoing gender reassignment surgeries is on the rise, driven by an increasing acceptance and recognition of the transgender community. Additionally, heightened awareness among this population about the availability and benefits of sex reassignment surgeries in addition to non-surgical cosmetic procedures is contributing to market expansion.
However, the market also faces challenges, including the potential side effects and complications associated with these procedures. Despite these challenges, the market is expected to continue growing as more individuals seek to align their physical appearance with their gender identity.
This trend is likely to persist, fueled by ongoing social and cultural shifts towards greater acceptance and understanding of transgender individuals.

What will be the size of the US Sex Reassignment Surgery Market during the forecast period?

Request Free Sample

The sex reassignment surgery market in the US continues to evolve, driven by the growing recognition and acceptance of transgender individuals seeking gender dysphoria treatment. Transgender males and females, representing a diverse and expanding cohort, increasingly seek gender dysphoria transition and sexual wellness through various gender-affirming procedures. Self-identified gender and gender identity are increasingly prioritized, leading to an uptick in demand for genital reconstructive procedures, chest surgery (mastectomy), facial feminization surgery, and other gender-confirming surgeries. Clinicians play a crucial role in providing mental health support and guiding patients through the decision-making process. A recent national inpatient sample study revealed temporal trends indicating a steady increase In the number of gender dysphoria-related hospitalizations.
Hormone therapy remains a common component of the transition process, further fueling market growth. The market is expected to continue expanding as societal attitudes towards transgender individuals evolve and access to healthcare improves.

How is this market segmented and which is the largest segment?

The market 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.

Type

  Male to female
  Female to male


End-user

  Hospitals
  Clinics


Geography

  US

By Type Insights

The male to female segment is estimated to witness significant growth during the forecast period.

Sex reassignment surgery, also known as gender confirmation surgery, is a medical procedure that facilitates the physical transition of transgender individuals from their identified gender to the opposite sex. This process primarily involves male-to-female (MTF) and female-to-male (FTM) transitions. MTF surgeries aim to create a neo-vagina and feminine appearance, often preceded by hormone therapy. Associated procedures include vaginoplasty, facial feminization surgery, breast enhancement, and orchiectomy. In MTF surgeries, the original penis is utilized to construct a sensate neo-vagina, while testicles are removed in an orchiectomy. The labia are formed from the scrotal skin. Transgender females and males, particularly the young population, undergo gender dysphoria transition, which is a critical part of their self-identified gender identity journey.

The transfeminine population and transmasculine population seek gender-affirming care, including genital reconstructive procedures, to align their bodies with their gender identity. The US healthcare landscape has seen continuous innovations in gender-affirming surgical procedures, with clinics like Mount Sinai Hospital and institutions such as the Transgender Surgery Institute offering specialized services. The Affordable Care Act (Obamacare) and Medicaid program have expanded coverage for transgender beneficiaries, enabling more equitable access to gender-affirming care. Gender-affirming surgeries, including hysterectomy, salpingo-oophorectomy, mastectomy, metoidioplasty, phalloplasty, scrotoplasty, chest masculinization surgery, and facial feminization surgery, have become increasingly common. These procedures aim to improve patients' satisfaction, mental health, and overall well-being, while addressing societal stigma and perioperative complications. The market for gender-affirming surgical procedures is expected to grow, driven by the increasing awareness and acceptance of transgender issues.

Get a glance at the market share of various segments Request Free Sample

The male to fema

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.

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.

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.

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.

As reported by the most recent Canadian census data, *** 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 **. A similar observation can be made regarding transgender people: while the trans population represents only **** percent of Canadians, **** percent of 15-19 year olds were transgender men or women, compared with **** percent among 50-54 year olds.

Snapshot img

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

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.

ABSTRACT Objectives: to understand the life stories and itineraries of transvestites and transsexuals in health services. Methods: study with a qualitative approach, anchored in the methodological framework of Oral History. Interviews were conducted and thematically analyzed. Results: two themes emerged: 1) gender and sexuality in life stories; and 2) the trajectories in health services. These revealed the challenges in the process of recognizing gender identity before the family and society. The reports show the dilemmas that transsexuals and transvestites face in health care, which ends up generating the removal of this population from services. Final Considerations: it has been demonstrated that Oral History can increase knowledge, especially about life histories and trajectories in the health services of transvestites and transsexuals; in addition, information was offered that can assist managers and health professionals in making decisions or caring for these people.

Socio-demographic characteristics and sex work status of HIV-negative trans women, Tesoro Lingi, or people with other genders in Nepal, 2019.

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.

Stigmas, social support, cohesion, acceptance, and participation among HIV-negative trans women, Tesoro Lingi, and other gender people in Nepal, 2019–2020 (n = 173).

Frequency Table (and Percentage of Column) Regarding Statements About the Stigmatising Effect and/or Recognition as a Result of Having a (Gender Incongruence) Diagnosis.

The surf clams Mesodesma mactroides Reeve, 1854 and Donax hanleyanus Philippi, 1847 are the two dominating species in macrobenthic communities of sandy beaches off northern Argentina, with the latter now surpassing M. mactroides populations in abundance and biomass. Before stock decimation caused by exploitation (during the 1940s and 1950s) and mass mortality events (1995, 1999 and 2007) M. mactroides was the prominent primary consumer in the intertidal ecosystem and an important economic resource in Argentina. Since D. hanleyanus was not commercially fished and not affected by mass mortality events, it took over as the dominant species, but did never reach the former abundance of M. mactroides. Currently abundance and biomass of both surf clams are a multiple smaller than those of forty years ago, indicating the conservation status of D. hanleyanus and M. mactroides as endangered. Therefore the aim of this study is to analyse the population dynamics (population structure, growth and reproductive biology) of D. hanleyanus and M. mactroides, and to compare the results with historical data in order to detect possible differences within surf clam populations forty years ago and at present.

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) Regarding the Question (only for Healthcare Providers): ‘Have you Already Met with Clients/Patients in your Work to Whom This Wider Scope of Diagnosis Might Apply (for Instance, a Person Who Does not Feel Themselves to be Either Man or Woman, and Wish to Live Their Live as gender-Neutral, Non-Binary Persons)?’

As of February 10, 2025, ** 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 ***** 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.

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.