Gender-affirming care
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
Timeline of gender-affirming care
Recent Changes
2025
2024
- AlbertaLegal, but restricted for minorsDecember 3
- GeorgiaBannedSeptember 17
- FloridaRestrictedAugust 26
- OhioLegal, but banned for minorsAugust 6
- WyomingLegal, but banned for minorsJuly 1
- IdahoRestrictedJuly 1
- FloridaLegalJune 11
- Legal, but banned for minorsJune 3
- ScotlandLegal, but banned for minorsJune 3
- WalesLegal, but banned for minorsJune 3
- United KingdomLegal, but banned for minorsJune 3
- South CarolinaLegal, but banned for minorsMay 21
- IraqBannedApril 27
- IdahoLegal, but banned for minorsApril 15
- Legal, but restricted for minorsMarch 12
- United KingdomLegal, but restricted for minorsMarch 12
- IndianaLegal, but banned for minorsFebruary 27
- MarylandLegalJanuary 8
- OregonLegalJanuary 1
- LouisianaLegal, but banned for minorsJanuary 1
2023
- NebraskaLegal, but banned for minorsOctober 1
- North CarolinaLegal, but banned for minorsOctober 1
- TexasLegal, but banned for minorsSeptember 1
- RussiaBannedJuly 24
- TennesseeLegal, but banned for minorsJuly 1
- NevadaLegalJuly 1
- GeorgiaLegal, but banned for minorsJuly 1
- ArkansasLegalJune 20
- New YorkLegalJune 12
- VermontLegalMay 10
- New JerseyLegalApril 4
- IowaLegal, but banned for minorsMarch 22
- New MexicoLegalMarch 16
- MinnesotaLegalMarch 8
- MississippiLegal, but banned for minorsFebruary 28
- South DakotaLegal, but banned for minorsFebruary 13
- ChileLegalJanuary 1
- UtahLegal, but banned for minorsJanuary 1
- KentuckyLegal, but banned for minorsJanuary 1
- FloridaRestrictedJanuary 1
- ColoradoLegalJanuary 1
- OklahomaLegal, but banned for minorsJanuary 1
Gender-affirming care by Country
Legal, but restricted for minors
Gender-affirming care is legal, but restricted for minors in 6 regions.
- Africa (1)
- Mali 2019
Legal, but banned for minors
Gender-affirming care is legal, but banned for minors in 8 regions.
- Europe (1)
- United Kingdom 2024
Restricted
Gender-affirming care is restricted in 26 regions.
- Asia (9)
- Bangladesh 1969
- Bhutan
- Indonesia 1973
- Iran 1987
- Laos 2009
- Malaysia 1983
- Myanmar 1963
- Nepal 1988
- Timor-Leste
Banned
Gender-affirming care is banned in 21 regions.
Varied, unclear, or unknown laws
Data on gender-affirming care is unclear, not applicable, or missing in 121 regions.
- Asia (26)
- Bahrain
- Brunei
- China
- Israel
- Japan
- Jordan
- Kazakhstan
- Kyrgyzstan
- Lebanon
- Maldives
- Mongolia
- North Korea
- Pakistan
- Palestine
- Philippines
- Qatar
- Saudi Arabia
- Singapore
- South Korea
- Sri Lanka
- Syria
- Taiwan
- Tajikistan
- Thailand
- Turkmenistan
- Uzbekistan
- Europe (34)
- Andorra
- Armenia
- Austria
- Azerbaijan Ambiguous
- Belarus
- Belgium
- Bosnia and Herzegovina
- Bulgaria
- Croatia
- Cyprus
- Czech Republic
- Denmark
- Greece
- Italy
- Kosovo
- Latvia
- Liechtenstein Ambiguous
- Lithuania
- Luxembourg
- Moldova
- Monaco
- Montenegro
- Netherlands
- North Macedonia
- Poland
- Portugal
- Romania
- San Marino
- Slovakia
- Slovenia
- Spain
- Switzerland
- Turkey
- Ukraine
- North America (22)
- Antigua and Barbuda
- Bahamas
- Barbados
- Belize
- Canada Varies by Region
- Costa Rica
- Dominica
- Dominican Republic
- El Salvador
- Grenada
- Guatemala
- Haiti
- Honduras
- Jamaica
- Mexico
- Nicaragua
- Panama
- Saint Kitts and Nevis
- Saint Lucia
- Saint Vincent and the Grenadines
- Trinidad and Tobago
- United States Varies by Region
- Africa (14)
- Cape Verde
- Comoros
- Eswatini
- Gabon Ambiguous
- Gambia
- Mauritius
- Sao Tome and Principe
- Senegal
- Seychelles
- Sierra Leone
- South Africa
- Togo Ambiguous
- Tunisia
- Zimbabwe
- Oceania (14)
- Australia
- Federated States of Micronesia
- Fiji
- Kiribati
- Marshall Islands
- Nauru
- New Zealand
- Palau
- Papua New Guinea
- Samoa
- Solomon Islands
- Tonga
- Tuvalu
- Vanuatu
- South America (10)
- Argentina
- Bolivia
- Colombia
- Ecuador
- Guyana
- Paraguay
- Peru
- Suriname
- Uruguay
- Venezuela
- Antarctica (1)
- Antarctica
Spot an error? Visit the region and select "Accurate?: No" so Equaldex's editors can review it.