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

57
Legal
57 regions (29%)
Legal
119
Somewhere in between
119 regions (60%)
Somewhere in between
13
Banned
13 regions (7%)
Banned
9
Varied, unclear, or unknown laws
9 regions (5%)
Varied, unclear, or unknown laws
Europe
40%
LEGAL EQUALITY
Legal
20 regions (40%)
Somewhere in between
24 regions (48%)
Banned
1 regions (2%)
Varied, unclear, or unknown laws
5 regions (10%)
Oceania
21%
LEGAL EQUALITY
Legal
3 regions (21%)
Somewhere in between
10 regions (71%)
Banned
regions (0%)
Varied, unclear, or unknown laws
1 regions (7%)
South America
75%
LEGAL EQUALITY
Legal
9 regions (75%)
Somewhere in between
3 regions (25%)
Banned
regions (0%)
Varied, unclear, or unknown laws
regions (0%)
North America
35%
LEGAL EQUALITY
Legal
8 regions (35%)
Somewhere in between
13 regions (57%)
Banned
regions (0%)
Varied, unclear, or unknown laws
2 regions (9%)
Africa
11%
LEGAL EQUALITY
Legal
6 regions (11%)
Somewhere in between
44 regions (82%)
Banned
4 regions (7%)
Varied, unclear, or unknown laws
regions (0%)
Asia
25%
LEGAL EQUALITY
Legal
11 regions (25%)
Somewhere in between
25 regions (57%)
Banned
8 regions (18%)
Varied, unclear, or unknown laws
regions (0%)

Timeline of gender-affirming care

Number of countries to over the past 61 years.

Recent Changes

2026

2025

2024

Gender-affirming care by Country

Legal, but restricted for minors

Gender-affirming care is legal, but restricted for minors in 21 regions.

  1. Asia (2)
  2. Israel 2014
  3. Japan 1997
  4. North America (1)
  5. Cuba
  6. South America (1)
  7. Brazil 2025

Legal, but banned for minors

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

  1. Asia (4)
  2. Bangladesh 2024
  3. Kazakhstan 2020
  4. Kyrgyzstan 2005
  5. Singapore 2026
  6. Europe (1)
  7. Turkey 2025
  8. North America (1)
  9. Dominican Republic

Banned

Gender-affirming care is banned in 13 regions.

  1. Europe (1)
  2. Georgia 2024
  3. Africa (4)
  4. Egypt 2003
  5. Niger 2026
  6. Senegal 2026
  7. Uganda 2023

Varied, unclear, or unknown laws

Data on gender-affirming care is unclear, not applicable, or missing in 9 regions.

  1. Europe (5)
  2. Cyprus Varies by Region
  3. Liechtenstein Ambiguous
  4. Spain Varies by Region
  5. United Kingdom Varies by Region
  6. Vatican City N/A
  7. North America (2)
  8. Canada Varies by Region
  9. United States Varies by Region
  10. Oceania (1)
  11. Australia Varies by Region
  12. Antarctica (1)
  13. Antarctica N/A

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