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

117
Legal
117 regions (59%)
Legal
48
Somewhere in between
48 regions (24%)
Somewhere in between
15
Banned
15 regions (8%)
Banned
17
No data, no laws, N/A, or ambiguous
17 regions (9%)
No data, no laws, N/A, or ambiguous
Europe
74%
LEGAL EQUALITY
Legal
37 regions (74%)
Somewhere in between
11 regions (22%)
Banned
2 regions (4%)
No data, no laws, N/A, or ambiguous
regions (0%)
Oceania
36%
LEGAL EQUALITY
Legal
5 regions (36%)
Somewhere in between
1 regions (7%)
Banned
regions (0%)
No data, no laws, N/A, or ambiguous
8 regions (57%)
South America
100%
LEGAL EQUALITY
Legal
12 regions (100%)
Somewhere in between
regions (0%)
Banned
regions (0%)
No data, no laws, N/A, or ambiguous
regions (0%)
North America
96%
LEGAL EQUALITY
Legal
22 regions (96%)
Somewhere in between
regions (0%)
Banned
regions (0%)
No data, no laws, N/A, or ambiguous
1 regions (4%)
Africa
19%
LEGAL EQUALITY
Legal
10 regions (19%)
Somewhere in between
26 regions (49%)
Banned
10 regions (19%)
No data, no laws, N/A, or ambiguous
7 regions (13%)
Asia
68%
LEGAL EQUALITY
Legal
30 regions (68%)
Somewhere in between
10 regions (23%)
Banned
3 regions (7%)
No data, no laws, N/A, or ambiguous
1 regions (2%)

Timeline of gender-affirming care

Number of countries to over the past 61 years.

Recent & Upcoming Changes

Gender-affirming care by Country

Legal

Gender-affirming care is legal in 117 regions.

  1. Oceania (5)
  2. Australia 1998
  3. Fiji 2001
  4. Kiribati 1999
  5. New Zealand 2000
  6. Solomon Islands 2017
  7. South America (12)
  8. Argentina 1997
  9. Bolivia 2000
  10. Brazil 1996
  11. Chile 1997
  12. Colombia 1997
  13. Ecuador 1997
  14. Guyana 2001
  15. Paraguay 1996
  16. Peru 1999
  17. Suriname 1995
  18. Uruguay 1997
  19. Venezuela 1996
  20. Antarctica (1)
  21. Antarctica 2001

Legal, but restricted for minors

Gender-affirming care is legal, but restricted for minors in 13 regions.

  1. Asia (1)
  2. Pakistan 1993
  3. Europe (9)
  4. Albania 2009
  5. Finland 2020
  6. Hungary 2020
  7. Kosovo 1979
  8. Monaco 1986
  9. Norway 2023
  10. Serbia 2005
  11. Sweden 2021
  12. United Kingdom 2024
  13. Africa (2)
  14. Sao Tome and Principe 1984
  15. Zimbabwe 1990
  16. Oceania (1)
  17. Papua New Guinea 1980

Legal, but banned for minors

Gender-affirming care is legal, but banned for minors in 7 regions.

Restricted

Gender-affirming care is restricted in 28 regions.

  1. Europe (2)
  2. Bulgaria 2005
  3. Liechtenstein 1987

Banned

Gender-affirming care is banned in 15 regions.

  1. Europe (2)
  2. Russia 2023
  3. Vatican City

No data, no laws, N/A, or ambiguous

Data on gender-affirming care is unclear, not applicable, or missing in 17 regions.

  1. Asia (1)
  2. North Korea
  3. North America (1)
  4. United States

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