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

35
Legal
35 regions (18%)
Legal
51
Somewhere in between
51 regions (26%)
Somewhere in between
23
Banned
23 regions (12%)
Banned
89
Varied, unclear, or unknown laws
89 regions (45%)
Varied, unclear, or unknown laws
Europe
26%
LEGAL EQUALITY
Legal
13 regions (26%)
Somewhere in between
8 regions (16%)
Banned
4 regions (8%)
Varied, unclear, or unknown laws
25 regions (50%)
Oceania
7%
LEGAL EQUALITY
Legal
1 regions (7%)
Somewhere in between
1 regions (7%)
Banned
regions (0%)
Varied, unclear, or unknown laws
12 regions (86%)
South America
42%
LEGAL EQUALITY
Legal
5 regions (42%)
Somewhere in between
1 regions (8%)
Banned
regions (0%)
Varied, unclear, or unknown laws
6 regions (50%)
North America
9%
LEGAL EQUALITY
Legal
2 regions (9%)
Somewhere in between
1 regions (4%)
Banned
regions (0%)
Varied, unclear, or unknown laws
20 regions (87%)
Africa
11%
LEGAL EQUALITY
Legal
6 regions (11%)
Somewhere in between
24 regions (44%)
Banned
13 regions (24%)
Varied, unclear, or unknown laws
11 regions (20%)
Asia
18%
LEGAL EQUALITY
Legal
8 regions (18%)
Somewhere in between
16 regions (36%)
Banned
6 regions (14%)
Varied, unclear, or unknown laws
14 regions (32%)

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 35 regions.

  1. North America (2)
  2. Cuba 2008
  3. Mexico
  4. Oceania (1)
  5. New Zealand
  6. South America (5)
  7. Bolivia
  8. Brazil 2020
  9. Chile 2023
  10. Colombia
  11. Uruguay 2018

Legal, but restricted for minors

Gender-affirming care is legal, but restricted for minors in 9 regions.

  1. Asia (2)
  2. Japan 1997
  3. Singapore
  4. Europe (7)
  5. Finland 2020
  6. Hungary 2020
  7. Ireland
  8. Italy 2023
  9. Serbia 2005
  10. Sweden 2022
  11. Turkey

Legal, but banned for minors

Gender-affirming care is legal, but banned for minors in 3 regions.

  1. Asia (1)
  2. Kyrgyzstan 2005
  3. Europe (1)
  4. United Kingdom 2024
  5. South America (1)
  6. Argentina 2025

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