{"chart":{"title":"Gender-affirming care","citation":"Velasco (2026)","originalChartUrl":"https://ourworldindata.org/grapher/gender-affirming-care-velasco","selection":["India","Burkina Faso","Indonesia","Mexico","Sudan","China"]},"columns":{"Gender-affirming care (adults and minors)":{"titleShort":"Gender-affirming care","titleLong":"Gender-affirming care","descriptionShort":"Whether gender-affirming care is publicly funded or restricted by national law, for adults and for minors. This care helps transgender and non-binary people align their bodies with their gender identity, for example through hormone replacement therapy or surgery for adults, and puberty blockers, cross-sex hormones, or surgery for minors.","descriptionKey":"- This data comes from the LGBTI National Policy Dataset, compiled by Kristopher Velasco at Princeton University. It tracks the adoption, scope, and enforcement of 27 LGBTI-related policies across 195 countries, with annual data starting in 1991.\n- The indicator is coded as follows: **_Covered for adults and minors_** (gender-affirming healthcare is publicly funded for both adults and minors), **_Covered for adults or minors only_** (gender-affirming healthcare is publicly funded for one of the two groups, with no national policy for the other), **_Adults covered, minors restricted_** (gender-affirming healthcare is publicly funded for adults but explicitly restricted or banned for minors), **_Neither covered nor restricted_** (no national policy explicitly funds or restricts gender-affirming healthcare for either group), **_Varies by region or other_** (rules differ between subnational jurisdictions, or the dataset records care for the same group as both publicly funded and restricted in the same year, as for minors in Sweden since 2022) and **_Restricted for both_** (gender-affirming healthcare is explicitly restricted or banned for both adults and minors).\n- The dataset counts policies established by binding legal instruments — statutes, constitutional provisions, decrees and regulations with the force of law, and binding court rulings. Where no law governs a policy, a written rule that does can count too, such as a health-authority guideline, a blood service's donor questionnaire or a religious ruling. Bills, ministerial statements and non-binding declarations are not counted.","descriptionProcessing":"From the original dataset's four indicators for gender-affirming care (adults covered, adults restricted, minors covered, minors restricted), we combined them into a single categorical indicator capturing whether care is publicly funded or legally restricted for adults and for minors. The most common combinations keep their own category, and the rarer cases where only one of the two groups has a policy are grouped into \"Covered for adults or minors only\". Years in which rules differ between subnational jurisdictions, or in which care for the same group is recorded as both funded and restricted, are classified as \"Varies by region or other\".","shortUnit":"","unit":"","timespan":"1991-2025","type":"Ordinal","owidVariableId":1354596,"shortName":"gender_affirming_care","lastUpdated":"2026-07-15","nextUpdate":"2027-07-15","citationShort":"Velasco (2026) – with major processing by Our World in Data","citationLong":"Velasco (2026) – with major processing by Our World in Data. “Gender-affirming care – Velasco” [dataset]. Velasco, “LGBTI National Policy Dataset 3.0” [original data].","fullMetadata":"https://api.ourworldindata.org/v1/indicators/1354596.metadata.json"}},"dateDownloaded":"2026-10-31"}