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.

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.

The TransPop study is the first national probability sample of transgender individuals in the United States (it also includes a comparative cisgender sample). A primary goal of this study was to provide researchers with a representative sample of transgender people in the United States. The study examines a variety of health-relevant domains including health outcomes and health behaviors, experiences with interpersonal and institutional discrimination, identity, transition-related experiences, and basic demographic characteristics (age, race/ethnicity, religion, political party affiliation, marital status, employment, income, location, sex, gender, and education). Co-investigators (in alphabetical order): Walter O. Bockting, Ph.D. (Columbia University); Jody L. Herman, Ph.D. (UCLA); Sari L. Reisner, Ph.D. (Harvard University and The Fenway Institute, Fenway Health).

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

The 2015 U.S. Transgender Survey (USTS) was conducted by the National Center for Transgender Equality (NCTE) to examine the experiences of transgender adults in the United States. The USTS questionnaire was administered online and data were collected over a 34-day period in the summer of 2015, between August 19 and September 21. The final sample included respondents from all fifty states, the District of Columbia, American Samoa, Guam, Puerto Rico, and U.S. military bases overseas. The USTS Public Use Dataset (PUDS) features survey results from 27,715 respondents and details the experiences of transgender people across a wide range of areas, such as education, employment, family life, health, housing, and interactions with police and prisons. The survey instrument had thirty-two sections that covered a broad array of topics, including questions related to the following topics (in alphabetical order): accessing restrooms; airport security; civic participation; counseling; family and peer support; health and health insurance; HIV; housing and homelessness; identity documents; immigration; intimate partner violence; military service; police and incarceration; policy priorities; public accommodations; sex work; sexual assault; substance use; suicidal thoughts and behaviors; unequal treatment, harassment, and physical attack; and voting. Demographic information includes age, racial and ethnic identity, sex assigned at birth, gender and preferred pronouns, sexual orientation, language(s) spoken at home, education, employment, income, religion/spirituality, and marital status. There are no publicly available data files for this study. The naming conventions were maintained from the original pre-ICPSR release and the PUDS file is restricted use along with the qualitative data (MS Excel) file. Before applying for access to these data please refer to the Approved Requests for USTS Data. These abstracts describe work currently in progress, and we provide them to help reduce the risk of duplication of research efforts.

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.

Given that an estimated 0.6% of the U.S. population is transgender (trans) and that large health disparities for this population have been documented, government and research organizations are increasingly expanding measures of sex/gender to be trans inclusive. Options suggested for trans community surveys, such as expansive check-all-that-apply gender identity lists and write-in options that offer maximum flexibility, are generally not appropriate for broad population surveys. These require limited questions and a small number of categories for analysis. Limited evaluation has been undertaken of trans-inclusive population survey measures for sex/gender, including those currently in use. Using an internet survey and follow-up of 311 participants, and cognitive interviews from a maximum-diversity sub-sample (n = 79), we conducted a mixed-methods evaluation of two existing measures: a two-step question developed in the United States and a multidimensional measure developed in Canada. We found very low levels of item missingness, and no indicators of confusion on the part of cisgender (non-trans) participants for both measures. However, a majority of interview participants indicated problems with each question item set. Agreement between the two measures in assessment of gender identity was very high (K = 0.9081), but gender identity was a poor proxy for other dimensions of sex or gender among trans participants. Issues to inform measure development or adaptation that emerged from analysis included dimensions of sex/gender measured, whether non-binary identities were trans, Indigenous and cultural identities, proxy reporting, temporality concerns, and the inability of a single item to provide a valid measure of sex/gender. Based on this evaluation, we recommend that population surveys meant for multi-purpose analysis consider a new Multidimensional Sex/Gender Measure for testing that includes three simple items (one asked only of a small sub-group) to assess gender identity and lived gender, with optional additions. We provide considerations for adaptation of this measure to different contexts.

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

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.

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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

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."

According to a survey conducted in 2024, Americans were most likely to support a policy expanding transgender rights by including protections for transgender people in hate-crime laws, with ** percent of respondents supporting this policy. A further ** percent supported a policy that would ban employers from firing employees based on their transgender identity.

Financial overview and grant giving statistics of Transgender Foundation of America

Participating studies, enrolled populations, study site, number of transgender women study participants.

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

This dataset contains surveillance study estimates for population size, HIV prevalence, and ART coverage among female sex workers (FSW), men who have sex with men (MSM), people who inject drugs (PWID), and transgender men and women (TGM/W) from 2010-2023. It was created to support the UNAIDS Estimates Key Population Workbook for use by HIV estimates teams in sub-Saharan Africa. Key population surveillance reports, including Ministry of Health-led biobehavioural surveys, mapping studies, and academic studies were used to populate the database.

The dataset was populated using existing key population size estimate databases including:

UNAIDS Key Population Atlas

US Centers for Disease Control and Prevention surveillance database

Global Fund against HIV/AIDS, TB, and Malaria surveillance database

Global.HIV database

Systematic review databases among MSM (Stannah et al, 2019 and Stannah et al., 2023) and PWID (Degenhardt et al., 2023)

and was additionally supplemented by a literature review of peer-reviewed and grey literature sources.

The data can be explored in this web application and the accompanying manuscript can be found here

The goal of this exploratory study was to delineate health differences among transgender subpopulations (transgender women/TW, transgender men/TM, gender nonbinary/GNB adults). 2015 Behavioral Risk Factor Surveillance System data were analyzed to compare the health of three groups (TW:N = 369; TM:N = 239; GNB:N = 156). Logistic regression and adjusted odds ratios were used to determine whether health outcomes (fair/poor health, frequent physical and mental unhealthy days, chronic health conditions, and health problems/impairments) are related to group and its interaction with personal characteristics and socioeconomic position. Group was a significant predictor of fair/poor health and frequent mental unhealthy days, revealing significant health differences between the transgender groups. The odds of poor/fair health were approximately 2.5 times higher in TM and GNB adults relative to TW. The odds of frequent mental unhealthy days for TM were approximately 1.5–2 times greater than TW and GNB adults. Among those with health insurance, the odds of fair/poor health for GNB adults was more than 1.5–2 times higher that of TM and TW. Among those without health insurance, TM had over 7 times greater odds of fair/poor health than TW. This study underscores the importance of classifying and examining the health of the transgender population as unique subpopulations, as notable health differences were discovered. TM and GNB adults have significant health concerns, requiring the attention of clinical interventions aimed at promoting health and preventing illness.

BackgroundTransgender women (TGW) experience unique life traumas that may perpetuate negative sexual health outcomes, such as high rates of HIV and sexually transmitted infections. This is especially true in the US Deep South, where structural and cultural factors further marginalize gender minorities as well as people of color. Providing trauma informed care to TGW in sexual and reproductive health (SRH) settings is necessary, but strategies to measure traumatic experiences among this population are needed. We aimed to develop and psychometrically assess a multi-item survey instrument evaluating trauma-specific histories for use with TGW in SRH settings and assess differences in reported trauma histories between White and non-White TGW in the US Deep South.MethodsSurvey items were developed using three existing general trauma instruments (Life Events Checklist for DSM-5, Trauma History Questionnaire, Stressful Life Events Screening Questionnaire) and results from qualitative interviews with TGW. Survey items fell into five trauma subdomains: healthcare-related experiences, sexual/relationship experiences, crime-related/general trauma experiences, gender dysphoria experiences, and discrimination experiences. A computer-assisted self-interviewing instrument was administered to TGW. Descriptive statistics were calculated. Cronbach’s alpha coefficients (α) were calculated for each subdomain to determine internal consistency. Results were stratified by race (White versus non-White), and means of trauma subdomain results were compared.ResultsBetween April 2024–September 2024, 105 TGW enrolled and completed the instrument. Median participant age was 30 years (range 19–73), and most identified as White (n = 55) or Black/African American (n = 40). Mental health conditions such as depression (n = 64) and anxiety (n = 59) were common. Psychometric analyses revealed acceptable internal constancy for the subdomains of healthcare-related experiences (α = 0.787), crime-related/general trauma experiences (α = 0.870), and discrimination experiences (α = 0.870). Subdomains measuring sexual/relationship experiences and gender dysphoria had lower reliability (α = 0.597 and 0.499, respectively). Trauma in all subdomains was common among all participants, with traumatic sexual and relationship experiences (p = 0.004) and crime-related and general trauma experiences (p 

Full text and metadata for articles used in the analyses for "Locating the Asymmetry in Information Flow between Local and National Media on Transgender Discourses", currently under review for a special issue on transphobic disinformation from the Bulletin of Applied Transgender Studies. Columns: Unnamed:0 (dataset index), media_name (media outlet where the article was published), publish_date (date of publication in YYYY-mm-DD HH:MM:SS format), title (article title), url (article URL as obtained from MediaCloud), subtitle (article subtitle), text (article text), sent_count (number of sentences), domain (domain from which the article was obtained), gender_label (does this article contain the string "gender"?), media_group (state-level or national media collection as defined in the article -- one of {'texas', 'ohio', 'illinois', 'florida', 'california', 'newyork', 'nytimes.com', 'foxnews.com'}) Abstract: Mainstream news outlets set the agenda and terms of discussion for public discourse. As transgender people experience increasingly vitriolic attacks on their fundamental rights in the U.S., understanding the dynamics governing media discussions of transgender people becomes even more salient. The interplay between news outlets with different geographical scopes—national and local—is an important aspect of media discourse circulation. Guided by inter-media agenda-setting theory, we use transfer entropy, a measure of information flow, to quantify whether, and how, transgender discourses spread across local and national media. We find that transgender discourses on a particular topic propagate from national to state-level outlets; however, we find that this process often involves two steps: national outlets influence particular state(s), which, in turn, influence the other states. Therefore, local outlets play a more complex role in agenda-setting for transgender discourses than previously thought. We combine our quantitative study of information flow between two national outlets and six state-level news collections with two comprehensive qualitative case studies, including recommendations for interventions to improve the state of the news ecosystem, to shed light on the circulation and nature of various transgender discourses across different geographical scopes within the U.S. media landscape.