Gender dysphoria (GD) is the distress a person experiences due to a mismatch between their gender identity—their personal sense of their own gender—and their sex assigned at birth. The term replaced the previous diagnostic label of gender identity disorder (GID) in 2013 with the release of the diagnostic manual DSM-5. The condition was renamed to remove the stigma associated with the term disorder. The International Classification of Diseases uses the term gender incongruence instead of gender dysphoria, defined as a marked and persistent mismatch between gender identity and assigned gender, regardless of distress or impairment. Not all transgender people have gender dysphoria. Gender nonconformity is not the same thing as gender dysphoria and does not always lead to dysphoria or distress.
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their identified gender. The phrase is most often associated with transgender health care and intersex medical interventions, though many such treatments are also pursued by cisgender and non-intersex persons. It is also known as sex reassignment surgery (SRS), gender confirmation surgery (GCS), and several other names.
The Standards of Care for the Health of Transgender and Gender Diverse People (SOC) is an international clinical protocol by the World Professional Association for Transgender Health (WPATH) outlining the recommended assessment and treatment for transgender and gender-diverse individuals across the lifespan including social, hormonal, or surgical transition. It often influences clinicians' decisions regarding patients' treatment. While other standards, protocols, and guidelines exist – especially outside the United States – the WPATH SOC is the most widespread protocol used by professionals working with transgender or gender-variant people.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the United States may face legal challenges not experienced by non-LGBTQ residents, with civil protections widely varying by state. While the rights of lesbian, gay and bisexual people remain among the most advanced in the world, the rights of transgender and intersex people have been significantly eroded since the beginning of the second Trump presidency, with public opinion and jurisprudence changing significantly since the late 1980s.
Lesbian, gay, bisexual, transgender and queer (LGBTQ) people face difficulties in prison such as increased vulnerability to sexual assault, other kinds of violence, and trouble accessing necessary medical care. While much of the available data on LGBTQ inmates comes from the United States, Amnesty International maintains records of known incidents internationally in which LGBTQ prisoners and those perceived to be lesbian, gay, bisexual or transgender have suffered torture, ill-treatment and violence at the hands of fellow inmates as well as prison officials.
In the United States, the rights of transgender people vary considerably by jurisdiction. In recent decades, there was an expansion of federal, state, and local laws and rulings to protect transgender Americans until 2025; however, many rights remain unprotected, and some rights are being eroded. Since 2020, there has been a national movement by conservative and right-wing politicians and organizations against transgender rights. There has been a steady increase in the number of anti-transgender bills introduced each year, especially in Republican-led states.
Lesbian, gay, bisexual, and transgender (LGBTQ) people in the U.S. state of Florida have federal protections, but many face legal difficulties on the state level that are not experienced by non-LGBT residents. Same-sex sexual activity became legal in the state after the U.S. Supreme Court's decision in Lawrence v. Texas on June 26, 2003, although the state legislature has not repealed its sodomy law. Same-sex marriage has been legal in the state since January 6, 2015. Discrimination on account of sexual orientation and gender identity in employment, housing and public accommodations is outlawed following the U.S. Supreme Court's ruling in Bostock v. Clayton County. In addition, several cities and counties, comprising about 55% of Florida's population, have enacted anti-discrimination ordinances. These include Jacksonville, Miami, Tampa, Orlando, St. Petersburg, Tallahassee and West Palm Beach, among others. Conversion therapy is also banned in a number of cities in the state, mainly in the Miami metropolitan area, but has been struck down by the 11th Circuit Court of Appeals. In September 2023, Lake Worth Beach, Florida became an official "LGBT sanctuary city" to protect and defend LGBT rights.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) people in the U.S. state of Missouri may experience some legal challenges that non-LGBTQ residents do not. Same-sex sexual activity is legal in Missouri, in accordance with 2003's Lawrence v. Texas decision. In 2006, Missouri codified the legality of same-sex sexual activity into its statutory law.
Puberty blockers are medicines used to postpone puberty in children. The most commonly used puberty blockers are gonadotropin-releasing hormone (GnRH) agonists, which suppress the natural production of sex hormones, such as androgens and estrogens. Puberty blockers are used to delay puberty in children with precocious puberty. Since the 1990s, they are also used to delay the development of unwanted secondary sex characteristics in transgender children, so as to allow transgender youth more time to explore their gender identity under what became known as the "Dutch Protocol". They have been shown to reduce depression and suicidality in transgender and nonbinary youth. The same drugs are also used in fertility medicine and to treat some hormone-sensitive cancers in adults.
Transgender health care includes the prevention, diagnosis and treatment of physical and mental health conditions which affect transgender individuals. A major component of transgender health care is gender-affirming care, the medical aspect of gender transition. Questions implicated in transgender health care include gender variance, sex reassignment therapy, health risks, and access to healthcare for trans people in different countries around the world. Gender affirming health care can include psychological, medical, physical, and social behavioral care. The purpose of gender affirming care is to help a transgender individual conform to their desired gender identity.
The legal and regulatory history of transgender and transsexual people in the United States begins in the 1960s. Such legislation covers federal, state, municipal, and local levels, as well as military justice. It reflects broader societal attitudes which have shifted significantly over time and have impacted legislative and judicial outcomes.
Transgender people have served or sought to serve in the United States military throughout its history. Since January 25, 2021, transgender individuals have been allowed to openly serve and enlist in the U.S. military. However, as of January 27, 2025, with the signing of Executive Order 14183, transgender individuals are in a transition period before a reinstated ban on their service and enlistment takes full effect, which is expected to occur no later than March 28, 2025, following the executive order’s 60-day full implementation deadline. On January 28, 2025, the United States Navy became the first branch to begin rejecting transgender enlistment applications and postponing the ship-out dates of any transgender recruits already in the Delayed Entry Program (DEP) until further guidance from the Pentagon was provided, ahead of the finalized United States Department of Defense policy.
This is a list of notable events in the history of LGBTQ rights that took place in the year 2021.
Transphobia in the United States has changed over time. Understanding and acceptance of transgender people have both decreased and increased during the last few decades depending on the details of the issues which have been facing the public. Various governmental bodies in the United States have enacted anti-transgender legislation. Social issues in the United States also reveal a level of transphobia. Because of transphobia, transgender people in the U.S. face increased levels of violence and intimidation. Cisgender people can also be affected by transphobia.
Chloe Cole is an American activist who opposes gender-affirming care for minors and supports bans on such care following her own detransition. She has appeared with conservative politicians and in the media, supporting and advocating for such bans. Cole says that she began transitioning at 12, having undergone treatment which included puberty blockers, testosterone, and a double mastectomy at age 15. She began detransitioning at 17 after experiencing hallucinations during an LSD trip, and converted to Christianity.
The 2020s anti-LGBTQ movement in the United States is an ongoing political backlash from social conservatives against LGBTQ movements. It has included legislative proposals of bathroom use restrictions, bans on gender-affirming care, anti-LGBTQ curriculum laws, laws against drag performances, book bans, boycotts, and conspiracy theories around grooming. Between 2018 and 2023, hundreds of anti-LGBTQ laws were considered, with more than one hundred passed into law.
False and misleading claims about gender diversity, gender dysphoria, and gender-affirming healthcare have been used to legislatively restrict transgender people's healthcare. The claims have primarily relied on manufactured uncertainty generated by various conservative religious organizations, pseudoscientific or discredited researchers, and anti-trans activists.
This is a list of notable events in the history of LGBTQ rights taking place in the year 2025.
Executive Order 14168, titled "Defending Women from Gender Ideology Extremism and Restoring Biological Truth to the Federal Government" is an executive order issued by Donald Trump on January 20, 2025, the day of his second inauguration as president of the United States.
Executive Order 14183 titled "Prioritizing Military Excellence and Readiness" is an executive order issued by President Donald Trump on January 27, 2025. It revokes Executive Order 14004, which allowed transgender people to serve in the military, stating that its policies reinforce military standards related to physical and mental fitness, unit cohesion, and mission effectiveness.
