A survey conducted in 2024 found that over a third of respondents were thought that society has gone too far in accepting transgender people. On the other hand, a further third believed that society has not gone far enough.

According to a survey conducted in 2024, 42 percent of Americans thought that society has gone too far in accepting people who are transgender in the United States. 46 percent of white Americans and 41 percent of Hispanic Americans also shared this belief, compared to only 26 percent of Black Americans.

As of February 10, 2025, the majority of the transgender population aged 13 and over in the United States were living in a state with no ban on transgender people's use of bathrooms or facilities. However, 10 percent of the transgender population were living in a state which banned transgender people from using bathrooms and facilities consistent with their gender identity in K-12 schools only, while eight percent were living in a state which banned transgender people from using bathrooms and facilities corresponding to their gender identity in all government-owned buildings and spaces, including schools, colleges, and more. A further seven percent were living in a state which restricted transgender people from using bathrooms and facilities consistent with their gender identity in K-12 schools and at least some government-owned buildings as well. Anti-education legislation Statewide legislation affecting LGBTQ+ people in the U.S. has been on the rise recently, especially in K-12 schools. Many states have taken legal action to restrict schools from teaching topics of racism, sexism, gender identity, sexual orientation, and systemic inequality to students. However, studies show that Americans typically remain politically divided over how these topics should be taught; in 2022, the majority of Democratic parents were found to believe that children should be taught that the legacy of slavery still affects the position of Black people in American society today while the majority of Republican parents thought that children should be taught that slavery is a part of American history but does not affect the position of Black people in American society today. Book bans Censorship of these topics has also been seen in K-12 libraries, with book bans occurring in multiple states throughout the country. As of 2022, Texas had the highest number of books banned in the U.S., followed by Florida. Florida's Parental Rights in Education Act, which is often referred to as the "Don't Say Gay" law, has been particularly controversial as it aims to prevent discussion of gender identity or sexual orientation and remove books featuring LGBTQ+ characters in K-12 schools and libraries. Along with potentially harming LGBTQ+ students, K-12 teachers have also highlighted how these laws and debates over what topics should be taught in the classroom may negatively impact their ability to do their job.

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 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.

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

A survey conducted in 2021 found that around 97.3 percent of people assigned male at birth still identify as male, while 0.4 percent identified as female, and 0.6 percent identified as transgender.

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

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."

A survey conducted in 2024found Democrats were more likely to think that American society had not gone far enough to accept transgender individuals. Republicans on the other hand, were more likely to think that society had gone too far.

In 2023, around 48 percent of the Black people interviewed in the United States thought transgender people face a great deal of discrimination. In comparison, the share of Hispanic and white people who shared this view was about 45 and 40 percent, respectively.

Snow accumulation rates typically show high variability over short distances. This data set contains accumulation rates derived from ground-penetrating radar (GPR) used to detect isochronal layers in the firn in West Antarctica. These layers were then dated using results from ice core analyses. These data show that accumulation rates along this profile have decreased in recent decades. The radar profile extends between two ice core sites taken along one of the US-ITASE traverse routes.

Sub-annually resolved ice core chemistry data from various sites on the Antarctic Ice Sheet were obtained from 1999 to 2008 during the US International Trans-Antarctic Scientific Expedition (US ITASE) deployments. Researchers conducted experiments approximately every 100-300 km looking for clues representing climatic conditions over the past 200-1000+ years. Ice cores, ... obtained for the glaciochemical component of the US ITASE research, were analyzed for soluble major ion content and in some cases trace elements. At each site, a ~3-inch diameter ice core was drilled to depths as great as 120 m. Surface snow samples were collected every ~10-40 km. High-resolution chemical analysis (up to ~75 measurements per meter) was used to define each core-chemistry year based on peaks in Na+, Ca2+, Mg2+, K+, NH4+, Cl-, NO3-, SO42-, CH3SO3- (methylsulfonate), and in some cases trace elements. Extreme events such as volcanic eruptions provide absolute age horizons within each core that are easily identified in chemical profiles. Our chemical analysis is also useful for quantifying anthropogenic impact, biogeochemical cycling, and for reconstructing past atmospheric circulation patterns.Core-chemistry tab-delimited text files, an accumulation rate Excel file, an Antarctic location map (GIF format), and a table of information for each core (GIF format) are available via FTP.

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.

In 2022, around 80 percent of transgender people in the United States had considered suicide, while around 40 percent had attempted suicide. There has been an upward trend in both the considered and attempted suicide rate since 2000, when 61 percent of transgender people considered committing suicide and 28 percent had attempted it.

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.

A survey conducted in 2024 found that 50 percent of Americans believe that transgender people face a lot of discrimination in the United States. A further eight percent felt that trans people do not face any discrimination.

In 2022, around 85.5 percent of transgender people assigned female at birth had considered suicide, compared to 77.2 percent of transgender people assigned male at birth. Approximately 42.7 percent of transgender people assigned female at birth had attempted suicide, compared to 37.2 percent of transgender people assigned male at birth.

In a global survey conducted in 2023, three percent of respondents from 30 countries identified themselves as transgender, non-binary/non-conforming/gender-fluid, or in another way. In Switzerland, around six percent of the respondents stated to identify themselves with one of the listed genders.

As of 2023, around 18 percent of U.S. transgender and nonbinary youth who did not have gender-affirming spaces in schools reported attempting suicide in the past year, compared to 14 percent of youth who had gender-affirming spaces in schools. The statistic illustrates the share of U.S. transgender and nonbinary youth who attempted suicide in the past year as of 2023, by gender-affirming spaces.