πŸ‡ΊπŸ‡Έ United States

North America

Score: 5.0/10
βœ… Positive rights: 7
🚩 Red flags: 7

Community Signals:

3 ⚠️

Travel Advice

Trans Community Travel Advice

Last updated: 15 Apr 2026 09:04 PM

Status:
Unknown

No Trans Community Travel Advice Yet

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Government Travel Advice

Last updated: 13 Mar 2026 12:39 PM

FCDO Alert Status:
No current warnings

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.Β 

Trans Rights Overview

Last updated: 2 Apr 2026 04:04 PM

Summary

Legal protections vary by state. Access to healthcare is generally available. Gender recognition processes differ across regions.

Rights Breakdown

Death Penalty Risk

Yes

Whether trans people face death-penalty risk under local law or enforcement.

πŸ“ Equaldex region: US; Homosexuality: Legal; Censorship: State-enforced | No censorship; Changing gender: Legal, but requires surgery | Legal, but requires medical diagnosis | Legal, no restrictions | Illegal; Conversion therapy: Banned | Not banned | Source: https://www.equaldex.com/api/equality-index?format=json&dependent_territories=1

Legal Gender Recognition

No

Can trans people change the gender marker on official documents?

πŸ“ Equaldex region: US; Homosexuality: Legal; Censorship: State-enforced | No censorship; Changing gender: Legal, but requires surgery | Legal, but requires medical diagnosis | Legal, no restrictions | Illegal; Conversion therapy: Banned | Not banned | Source: https://www.equaldex.com/api/equality-index?format=json&dependent_territories=1

Self-ID or Gatekeeping

No

Is legal gender recognition based on self-declaration or medical requirements?

πŸ“ Self-ID revoked at federal level; recognition only based on assigned sex at birth.

Nonbinary Recognition

No

Are nonbinary or third-gender identities officially recognised?

πŸ“ Federal policy eliminates "X" gender markers; nonbinary identities not recognised.

Legal Name Change

Yes

Can trans people legally change their name on official records?

πŸ“ Allowed nationwide, though requirements vary.

Marriage Rights

Yes

Can trans people marry in accordance with their affirmed gender?

πŸ“ Marriage equality guaranteed federally since 2015.

Trans Healthcare Access

Limited

Is gender-affirming healthcare legal and available?

πŸ“ Available in many states, but highly variable.

Trans Youth Rights

No

Can trans minors access gender-affirming care and support?

πŸ“ Gender-affirming care for minors banned via Executive Order 14187.

Insurance & Public Funding

Limited

Is gender-affirming healthcare covered by public or private insurance?

πŸ“ Medicaid covers care in some states; private insurers vary.

Conversion Therapy Ban

No

Are practices targeting trans people for conversion therapy banned?

πŸ“ Equaldex region: US; Homosexuality: Legal; Censorship: State-enforced | No censorship; Changing gender: Legal, but requires surgery | Legal, but requires medical diagnosis | Legal, no restrictions | Illegal; Conversion therapy: Banned | Not banned | Source: https://www.equaldex.com/api/equality-index?format=json&dependent_territories=1

Anti-Discrimination Laws

Yes

Are trans people protected by anti-discrimination laws in housing, work, and services?

πŸ“ Federal law (Title VII, Title IX) interpreted to protect gender identity.

Hate Crime Laws

Yes

Are trans people protected under hate crime laws?

πŸ“ Gender identity included in federal hate crimes statute (Shepard-Byrd Act).

Prison & Detention Policies

Yes

Are trans people treated with dignity in prisons and detention settings?

πŸ“ Equaldex region: US; Homosexuality: Legal; Censorship: State-enforced | No censorship; Changing gender: Legal, but requires surgery | Legal, but requires medical diagnosis | Legal, no restrictions | Illegal; Conversion therapy: Banned | Not banned | Source: https://www.equaldex.com/api/equality-index?format=json&dependent_territories=1

Military Inclusion

No

Can trans people serve openly in the military?

πŸ“ Military ban on transgender individuals reinstated by Executive Order 14183.

Asylum Protections

Yes

Are trans identities valid grounds for asylum claims?

πŸ“ Trans identity is grounds for asylum under federal law.

Access to Single-Sex Spaces

No

Can trans people access gendered spaces that match their affirmed gender?

πŸ“ Access limited by federal order based on assigned sex at birth.

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