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
- ArgentinaLegal, but banned for minorsFebruary 7
- QueenslandLegal, but restricted for minorsJanuary 28
- New HampshireLegal, but restricted for minorsJanuary 1
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
- UgandaBannedMay 21
- VermontLegalMay 10
- DenmarkLegalMay 4
- New JerseyLegalApril 4
- IowaLegal, but banned for minorsMarch 22
- New MexicoLegalMarch 16
- MinnesotaLegalMarch 8
- SlovakiaLegalMarch 3
- 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
- ItalyLegal, but restricted for minorsJanuary 1
- ColoradoLegalJanuary 1
- OklahomaLegal, but banned for minorsJanuary 1
Gender-affirming care by Country
Legal
Gender-affirming care is legal in 35 regions.
- Europe (13)
- Austria 1980
- Bulgaria
- Denmark 2023
- Estonia 2022
- France 1975
- Germany 1945
- Iceland 2019
- Malta
- Netherlands 1979
- Norway 1996
- Portugal 1995
- Slovakia 2023
- Switzerland
- Oceania (1)
- New Zealand
Legal, but restricted for minors
Gender-affirming care is legal, but restricted for minors in 9 regions.
Legal, but banned for minors
Gender-affirming care is legal, but banned for minors in 3 regions.
- Asia (1)
- Kyrgyzstan 2005
- Europe (1)
- United Kingdom 2024
- South America (1)
- Argentina 2025
Restricted
Gender-affirming care is restricted in 39 regions.
- Asia (13)
- Bangladesh 1969
- Bhutan
- China
- Indonesia 1973
- Iran 1987
- Laos 2009
- Malaysia 1983
- Myanmar 1963
- Nepal 1988
- Saudi Arabia 2009
- South Korea
- Timor-Leste
- Turkmenistan
- North America (1)
- Antigua and Barbuda
- Africa (24)
- Angola 2015
- Benin
- Burkina Faso
- Burundi
- Côte d’Ivoire
- Democratic Republic of the Congo
- Egypt 2003
- Equatorial Guinea
- Ethiopia
- Ghana 1996
- Guinea
- Kenya 1986
- Lesotho 1994
- Liberia
- Libya
- Malawi
- Mali
- Niger 1988
- Nigeria
- Rwanda 1986
- South Sudan 1990
- Sudan 1990
- Tanzania 1994
- Zimbabwe
- Oceania (1)
- Vanuatu
Banned
Gender-affirming care is banned in 23 regions.
Varied, unclear, or unknown laws
Data on gender-affirming care is unclear, not applicable, or missing in 89 regions.
- Asia (14)
- Bahrain
- Brunei
- Jordan
- Kazakhstan
- Lebanon
- Maldives
- Mongolia
- North Korea
- Palestine
- Qatar
- Sri Lanka
- Syria
- Tajikistan
- Uzbekistan
- Europe (25)
- Andorra
- Armenia
- Azerbaijan Ambiguous
- Belarus
- Belgium
- Bosnia and Herzegovina
- Croatia
- Cyprus
- Czech Republic
- Greece
- Kosovo
- Latvia
- Liechtenstein Ambiguous
- Lithuania
- Luxembourg
- Moldova
- Monaco
- Montenegro
- North Macedonia
- Poland
- Romania
- San Marino
- Slovenia
- Spain Varies by Region
- Ukraine
- North America (20)
- Bahamas
- Barbados
- Belize
- Canada Varies by Region
- Costa Rica
- Dominica
- Dominican Republic Ambiguous
- El Salvador
- Grenada
- Guatemala
- Haiti
- Honduras
- Jamaica
- Nicaragua
- Panama
- Saint Kitts and Nevis
- Saint Lucia
- Saint Vincent and the Grenadines
- Trinidad and Tobago
- United States Varies by Region
- Africa (11)
- Cape Verde
- Comoros
- Gabon Ambiguous
- Gambia
- Mauritius
- Sao Tome and Principe
- Senegal
- Seychelles
- Sierra Leone
- Togo Ambiguous
- Tunisia
- Oceania (12)
- Australia Varies by Region
- Federated States of Micronesia
- Fiji
- Kiribati
- Marshall Islands
- Nauru
- Palau
- Papua New Guinea
- Samoa
- Solomon Islands
- Tonga
- Tuvalu
- Antarctica (1)
- Antarctica
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