Gender-affirming care

DATE

Gender-affirming care

Gender-affirming care refers to the suite of medical, psychological, and surgical interventions aimed at helping transgender and non-binary individuals align their physical bodies with their gender identity. This form of care is essential for many transgender people and can significantly improve their quality of life and mental health.

Components of gender-affirming care include hormone replacement therapy (HRT), which adjusts the body's hormonal balance to reflect the patient's gender identity. Surgical options might include chest/breast construction or removal, genital reconstruction, and facial feminization or masculinization surgeries, among others. Beyond medical interventions, gender-affirming care also encompasses psychological support to help individuals navigate their transitions and cope with societal challenges they may face.

Despite its importance, access to gender-affirming care varies greatly across the globe. In some regions, it is readily available and covered by public health insurance, while in others, it can be prohibitively expensive or difficult to access due to legal restrictions or lack of medical providers trained in transgender health care. The legal environment in some countries may also impact the availability of these treatments, with some governments imposing restrictions or outright bans on certain aspects of transgender health care.

Summary

16
Legal
16 regions (8%)
Legal
40
Somewhere in between
40 regions (20%)
Somewhere in between
21
Banned
21 regions (11%)
Banned
121
Varied, unclear, or unknown laws
121 regions (61%)
Varied, unclear, or unknown laws
Europe
12%
LEGAL EQUALITY
Legal
6 regions (12%)
Somewhere in between
6 regions (12%)
Banned
4 regions (8%)
Varied, unclear, or unknown laws
34 regions (68%)
Oceania
0%
LEGAL EQUALITY
Legal
regions (0%)
Somewhere in between
regions (0%)
Banned
regions (0%)
Varied, unclear, or unknown laws
14 regions (100%)
South America
17%
LEGAL EQUALITY
Legal
2 regions (17%)
Somewhere in between
regions (0%)
Banned
regions (0%)
Varied, unclear, or unknown laws
10 regions (83%)
North America
4%
LEGAL EQUALITY
Legal
1 regions (4%)
Somewhere in between
regions (0%)
Banned
regions (0%)
Varied, unclear, or unknown laws
22 regions (96%)
Africa
7%
LEGAL EQUALITY
Legal
4 regions (7%)
Somewhere in between
25 regions (46%)
Banned
11 regions (20%)
Varied, unclear, or unknown laws
14 regions (26%)
Asia
7%
LEGAL EQUALITY
Legal
3 regions (7%)
Somewhere in between
9 regions (21%)
Banned
6 regions (14%)
Varied, unclear, or unknown laws
26 regions (59%)

Timeline of gender-affirming care

Number of countries to over the past 61 years.

Recent Changes

2025

2024

2023

Gender-affirming care by Country

Legal

Gender-affirming care is legal in 16 regions.

  1. Asia (3)
  2. Cambodia
  3. India 2019
  4. Vietnam 2008
  5. Europe (6)
  6. Estonia 2022
  7. France 1975
  8. Germany
  9. Iceland 2019
  10. Malta
  11. Norway 1996
  12. North America (1)
  13. Cuba 2008
  14. South America (2)
  15. Brazil 2020
  16. Chile 2023

Legal, but restricted for minors

Gender-affirming care is legal, but restricted for minors in 6 regions.

  1. Europe (5)
  2. Finland 2020
  3. Hungary 2020
  4. Ireland
  5. Serbia 2005
  6. Sweden 2022
  7. Africa (1)
  8. Mali 2019

Legal, but banned for minors

Gender-affirming care is legal, but banned for minors in 8 regions.

  1. Europe (1)
  2. United Kingdom 2024

Restricted

Gender-affirming care is restricted in 26 regions.

  1. Asia (9)
  2. Bangladesh 1969
  3. Bhutan
  4. Indonesia 1973
  5. Iran 1987
  6. Laos 2009
  7. Malaysia 1983
  8. Myanmar 1963
  9. Nepal 1988
  10. Timor-Leste

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