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

Important notice

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

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

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

Gender identity

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

Non-binary

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

Sex

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

Trans

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

Trans man

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

Trans woman

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

Usual resident

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

Notes:

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

• Percentages have been calculated using rounded data.

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

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

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

Transgender

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

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

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

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

Age

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

The quality assurance report can be found here

According to survey conducted in eight countries, Spain is the country where people are more likely to support a family member of a friend who would come out as transgender or non-binary. Some other more favorable countries are Italy, Great Britain, and Sweden. The least supportive country, among the eight countries surveyed in 2021, is France. In France, 27 percent of respondents said they would not be supportive, while a further 17 percent could not answer how they would react.

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

Worldwide, Brazil reported the highest number of transgender people murdered in 2023, reaching 100 victims. Most of the murders that year were reported in Latin America and the Caribbean. It is assumed that only a minority of the cases actually are reported, and the actual number is estimated to be significantly higher.

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

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

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?

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Gender Reassignment Surgery Market Size 2025-2029

The gender reassignment surgery market size is forecast to increase by USD 374.2 million, at a CAGR of 11.2% between 2024 and 2029.

The market is experiencing significant growth due to the increasing number of individuals opting for sex change procedures worldwide. This trend is driven by the growing acceptance and recognition of transgender and gender non-conforming individuals, leading to a surge in demand for medical solutions to help them align their physical identity with their gender identity. Advancements in medical technology have also played a crucial role in the market's expansion, enabling surgeons to perform these procedures more safely and effectively than ever before. However, the high cost of gender reassignment surgeries remains a significant challenge for many individuals seeking these procedures. Despite this obstacle, the market's potential for growth is substantial, particularly as societal attitudes towards gender identity continue to evolve and more individuals feel empowered to seek out the medical solutions they need to live authentically. Companies operating in this market can capitalize on this trend by offering affordable financing options, partnering with insurance providers, and investing in research and development to further advance surgical techniques and reduce costs.

What will be the Size of the Gender Reassignment Surgery Market during the forecast period?

Explore in-depth regional segment analysis with market size data - historical 2019-2023 and forecasts 2025-2029 - in the full report.
Request Free SampleThe market continues to evolve, driven by advancements in medical technology, growing societal acceptance, and increasing demand for comprehensive care. Surgical implants, preoperative counseling, and surgical techniques are constantly improving to enhance patient satisfaction and outcomes. Body image, a significant factor in the decision-making process, is addressed through various means, including social support groups and mental health services. Gender identity, a complex construct, is being explored through clinical trials and psychological counseling, aiming to provide more personalized and effective care. Hormone therapy, a crucial aspect of gender affirmation, is subject to ongoing research and refinement. Healthcare costs, a barrier for many, are being addressed through insurance coverage and medical tourism. Infection control, surgical risks, and pain management are essential components of quality care, with data analysis and evidence-based practices guiding best practices. Facial feminization and breast augmentation are popular procedures, but genital reconstruction and voice therapy are also gaining attention. Ethical considerations, patient advocacy, and long-term effects are crucial areas of focus. Sexual health, scar management, fertility preservation, and postoperative support are essential aspects of holistic care. Professional guidelines and post-operative care ensure consistent quality, while follow-up appointments and community resources provide ongoing support. Psychosocial assessment and informed consent forms are integral parts of the preoperative process. Medical imaging and patient education are essential for accurate diagnosis and effective treatment. The market is characterized by continuous dynamism, with ongoing unfolding of market activities and evolving patterns. Adverse events, healthcare access, and patient advocacy are ongoing concerns, requiring constant attention and innovation. The ultimate goal is to improve patient outcomes, enhance quality of life, and ensure ethical and compassionate care.

How is this Gender Reassignment Surgery Industry segmented?

The gender reassignment surgery industry research report provides comprehensive data (region-wise segment analysis), with forecasts and estimates in 'USD million' for the period 2025-2029, as well as historical data from 2019-2023 for the following segments. TypeMale to femaleFemale to maleEnd-userHospitalsSpecialty ClinicsAmbulatory Surgical Centers (ASCs)Distribution ChannelPublic healthcare systemsPrivate healthcare providersTechnologyMinimally invasive techniquesRobotic-assisted surgeryTraditional open surgeryPatient DemographicsAgeSocioeconomic statusGeographyNorth AmericaUSCanadaEuropeGermanySpainUKAPACIndiaMalaysiaThailandSouth AmericaArgentinaBrazilRest of World (ROW)

By Type Insights

The male to female segment is estimated to witness significant growth during the forecast period.The market encompasses various procedures aimed at helping individuals with gender dysphoria transition into their identified gender. This process often includes hormone therapy and psychological counseling to ensure readiness and understanding of the implications. Hormone therapy, while not mandatory, helps patients align their physical appearance with their gender identi

The study uses a mixed methods, layered design: 1. In-depth narrative interviews with a sample of 46 LGBT young people, from across England, aged 16-26 who are currently or were previously in care. The interviews focused on enabling young people to describe their sense of identity; their experiences in placement; their contact with birth relatives; their relationships with close friends, partners and peer groups; their contact with professionals (e.g. teachers, social workers); and their experience in the wider community. Narrative analysis of the interviews was used to provide an in-depth and nuanced understanding of identity development. 2. Semi-structured interviews with 26 foster carers across England who had experience of caring for LGBT young people. Interviews provide information from carers about the young people's experiences, but also how carers see their roles, relationships and the support they need. Data was analysed thematically using NVivo. 3. A survey of local authority policy, provision and practice to identify services available to LGBT young people in care or leaving care. 78% (n=118) of English local authorities returned data. Data was analysed using descriptive statistics and thematic qualitative coding. 4. Multi-agency focus groups were held with a range of professionals, towards the end of the project, exploring the policy and practice issues emerging from the literature review, survey and qualitative interviews. Focus groups were conducted in 2 Northern Metropolitan boroughs and an Eastern Non-Metropolitan county.

This study's objectives are to investigate how LGBT young people experience growing up in care and how they negotiate their identities. There have been no major published research studies on the experiences of lesbian, gay, bisexual or transgender (LGBT) young people in care in the UK and the services that may be needed to support them. Even in the most recent Care Planning Guidance (DCSF 2010a), sexual orientation and gender identity are not mentioned as issues that may need to be taken into account in ensuring the well-being of young people in care. This is a matter for concern when research suggests that both LGBT young people and young people in care are at risk of stigma, discrimination, bullying and mental health difficulties. There is the potential, therefore, for LGBT young people in care to face a 'double jeopardy'. The study explores the perspectives young people have about the intersectional relationship between their care and LGBT statuses, understood in the context of the multiplicity of other factors, such as ethnicity, experiences of abuse, separation and loss that also affect and contribute to identity formation. The study also investigates the national provision of services and support for LGBT young people in care and explores the experiences of foster carers who care for them.

Do You Think That Would be an Improvement?’.

Responses to the Question: “Do You Think That, if the Scope of the Diagnosis is Widened, More People Who Do Not Experience Themselves to be Either Men or Women; or Who Experience Themselves to be Outside the Boxes of Manhood or Womanhood, etc., Will Seek Care or Treatment?”

According to survey conducted in eight countries, Great Britain is the country where people are more likely to support a family member of a friend who would come out as gay, lesbian, or bisexual. The least supportive countries, on the other hand, seem to be Italy and Germany. In Italy, for instance, some 14 percent of respondents stated to be unsupportive, while in Germany, some 14 percent would oppose their friends or family.

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

The EU Lesbian, Gay, Bisexual and Transgender Survey (EU LGBT) was conducted by the European Union Agency for Fundamental Rights (FRA). It is the first ever EU-wide online survey to establish an overview concerning the lives of lesbian, gay, bisexual and trans people (18 years or older) and their experiences with regard to fundamental rights in the 28 EU Member States. Up until now, there has been very little comparable data collected across the EU about the everyday experiences of LGBT people with respect to discrimination, and lot of the available information is limited to occasional news reports and court judgements. As the first EU-wide survey of its kind, the results support the development of equal treatment policies for LGBT people in the European Union and set the agenda for years to come. Based on the survey results, national and European policy makers, as well as non-governmental organisations, are able to better target their advocacy strategies and activities to support LGBT communities to live and express themselves freely in a non-discriminatory environment. The survey was completely anonymous (no additional data on the participants and their sessions were logged in any way). The survey data collection operated by Gallup Europe, a professional survey and consultancy firm. In order to ensure that the survey delivers evidence needed for policy making, the EU LGBT Survey counted on the participation of a large and diverse group of lesbian, gay, bisexual and trans people from each country. Hence, it was vitally important for the success of the survey that FRA and Gallup worked together with civil society organisations to reach a wide audience and raise awareness concerning the survey, including participants emailing the survey, sharing it through social media or simply inviting LGBT friends to take part.

More information can be found on the FRA website

The COVID-19 pandemic has varying effects on men, women, and the transgender population. However, there is a paucity of systematic evidence on how gender and other social determinants of health during COVID-19 are affected in resource constraint urban settings. This review describes the gender dimensions of health-related challenges among the urban poor during COVID-19 in LMICs. We searched 11 scholarly online repositories including PubMed, Embase, Web of Science, CINAHL using the domain “slums,” “COVID-19”, “LMICs” and “gender identities.” We used thematic framework analysis to synthesize qualitative data, and meta-analysis to determine the pooled prevalence. We registered in PROSPERO (CRD42020203783). We identified 6490 records, and 37 articles included. The studies reported stress among 74% women and 78% men, depression among 59% women and 62% men, and anxiety among 79% women and 63% men. Men had more stress than women during COVID-19; men are primarily responsible for household sustenance. Women had more anxiety than men, possibly because they are often the primary caregivers for children and the older population. While the severity varies according to gender identity, their vulnerability mostly related to their literacy and economy, highlighting the significance of including all social determinants in future primary studies.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/#recordDetails.