North America
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Travel Advice
Trans Community Travel Advice
Last updated: 15 Apr 2026 09:04 PM
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Government Travel Advice
Last updated: 13 Mar 2026 12:39 PM
The US is a very diverse society and attitudes towards LGBT+ people differ hugely across the country. Check state and local laws for the areas you plan to travel to. Refer to entry requirements which may apply to LGBT+ travellers (see entry requirements).
Read more advice for LGBT+ travellers.
Trans Rights Overview
Last updated: 24 Apr 2025 10:39 AM
Summary
Legal gender change with medical diagnosis. Medicaid covers gender-affirming care. Anti-discrimination laws in place.
Rights Breakdown
Death Penalty Risk
Whether trans people face death-penalty risk under local law or enforcement.
Legal Gender Recognition
Can trans people change the gender marker on official documents?
📝 Since 2018, transgender individuals can change their legal gender on birth certificates with a medical diagnosis; surgery is not required.
Self-ID or Gatekeeping
Is legal gender recognition based on self-declaration or medical requirements?
📝 Legal gender recognition requires a medical diagnosis; self-identification is not sufficient.
Nonbinary Recognition
Are nonbinary or third-gender identities officially recognised?
📝 Non-binary gender identities are not legally recognized in Puerto Rico.
Legal Name Change
Can trans people legally change their name on official records?
📝 Transgender individuals can legally change their name without surgery or a court order.
Marriage Rights
Can trans people marry in accordance with their affirmed gender?
📝 Same-sex marriage has been legal in Puerto Rico since 2015.
Trans Healthcare Access
Is gender-affirming healthcare legal and available?
📝 Gender-affirming care is covered under Puerto Rico’s Medicaid program.
Trans Youth Rights
Can trans minors access gender-affirming care and support?
📝 Transgender youth have access to gender-affirming care, though specific legal protections are limited.
Insurance & Public Funding
Is gender-affirming healthcare covered by public or private insurance?
📝 Public health insurance covers gender-affirming care under Medicaid.
Conversion Therapy Ban
Are practices targeting trans people for conversion therapy banned?
📝 Conversion therapy for minors was banned by executive order in 2019.
Anti-Discrimination Laws
Are trans people protected by anti-discrimination laws in housing, work, and services?
📝 Discrimination based on gender identity is prohibited in employment and public accommodations.
Hate Crime Laws
Are trans people protected under hate crime laws?
📝 Hate crimes based on gender identity are recognized under Puerto Rico law.
Prison & Detention Policies
Are trans people treated with dignity in prisons and detention settings?
📝 Policies exist regarding the treatment of transgender individuals in the prison system, though implementation varies.
Military Inclusion
Can trans people serve openly in the military?
📝 Transgender individuals are allowed to serve openly in the military under U.S. federal law.
Asylum Protections
Are trans identities valid grounds for asylum claims?
📝 Puerto Rico follows U.S. federal guidelines, which provide asylum protections for transgender individuals.
Access to Single-Sex Spaces
Can trans people access gendered spaces that match their affirmed gender?
📝 Access to single-sex spaces for transgender individuals is not explicitly protected by law.
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