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Gender-affirming care: coverage and restrictions
What this indicator measures
Shows whether gender-affirming care (for example hormones or surgery) is funded by the state or restricted by national law, for adults and for minors.
How to read this?
The classification depends on what national law provides: public funding, restriction, or no national rule.
In brief
Gender-affirming care: coverage and restrictions: 194 countries and territories covered. Breakdown: Covered for adults and minors : 17 ; Covered for only one of the two groups : 8 ; Adults covered, minors restricted : 3 ; Neither coverage nor national restriction : 149 ; Restricted for adults and minors : 10 ; Varies or other : 7.
Why this indicator matters
Access to gender-affirming care, such as hormones or surgery, depends heavily on the law and on public funding. Comparing these rules shows how each system regulates this care for adults and minors.
What makes this indicator vary
Policies depend on medical and social debates, health systems, court decisions and the rapid evolution of laws. They often distinguish adults from minors.
Reading precautions
The indicator summarises national law in a few categories. It says nothing about the actual availability of care, waiting times or local conditions. Rules change quickly, and the “varies or other” category groups diverse cases.
Gender-affirming care: coverage and restrictions
Covered for adults and minors (17)
- 🇿🇦 South Africa (2025)
- 🇩🇪 Germany (2025)
- 🇦🇹 Austria (2025)
- 🇧🇪 Belgium (2025)
- 🇭🇷 Croatia (2025)
- 🇩🇰 Denmark (2025)
- 🇫🇷 France (2025)
- 🇮🇸 Iceland (2025)
- 🇮🇱 Israel (2025)
- 🇮🇹 Italy (2025)
- 🇲🇹 Malta (2025)
- 🇳🇴 Norway (2025)
- 🇳🇱 Netherlands (2025)
- 🇵🇹 Portugal (2025)
- 🇨🇭 Switzerland (2025)
- 🇨🇿 Czechia (2025)
- 🇹🇭 Thailand (2025)
Covered for only one of the two groups (8)
- 🇨🇴 Colombia (2025)
- 🇨🇷 Costa Rica (2025)
- 🇨🇺 Cuba (2025)
- 🇮🇳 India (2025)
- 🇮🇷 Iran (2025)
- 🇯🇵 Japan (2025)
- 🇷🇸 Serbia (2025)
- 🇺🇾 Uruguay (2025)
Adults covered, minors restricted (3)
Neither coverage nor national restriction (149)
- 🇦🇫 Afghanistan (2025)
- 🇦🇱 Albania (2025)
- 🇩🇿 Algeria (2025)
- 🇦🇩 Andorra (2025)
- 🇦🇴 Angola (2025)
- 🇦🇬 Antigua & Barbuda (2025)
- 🇦🇲 Armenia (2025)
- 🇦🇺 Australia (2025)
- 🇦🇿 Azerbaijan (2025)
- 🇧🇸 Bahamas (2025)
- 🇧🇭 Bahrain (2025)
- 🇧🇩 Bangladesh (2025)
- 🇧🇧 Barbados (2025)
- 🇧🇿 Belize (2025)
- 🇧🇯 Benin (2025)
- 🇧🇹 Bhutan (2025)
- 🇧🇾 Belarus (2025)
- 🇧🇴 Bolivia (2025)
- 🇧🇦 Bosnia & Herzegovina (2025)
- 🇧🇼 Botswana (2025)
- 🇧🇳 Brunei (2025)
- 🇧🇬 Bulgaria (2025)
- 🇧🇫 Burkina Faso (2025)
- 🇧🇮 Burundi (2025)
- 🇰🇭 Cambodia (2025)
- 🇨🇲 Cameroon (2025)
- 🇨🇻 Cape Verde (2025)
- 🇨🇱 Chile (2025)
- 🇨🇾 Cyprus (2025)
- 🇰🇲 Comoros (2025)
- 🇰🇵 North Korea (2025)
- 🇰🇷 South Korea (2025)
- 🇨🇮 Côte d’Ivoire (2025)
- 🇩🇯 Djibouti (2025)
- 🇩🇲 Dominica (2025)
- 🇪🇨 Ecuador (2025)
- 🇪🇷 Eritrea (2025)
- 🇪🇪 Estonia (2025)
- 🇸🇿 Eswatini (2025)
- 🇫🇲 Micronesia (2025)
- 🇪🇹 Ethiopia (2025)
- 🇫🇯 Fiji (2025)
- 🇬🇦 Gabon (2025)
- 🇬🇲 Gambia (2025)
- 🇬🇭 Ghana (2025)
- 🇬🇷 Greece (2025)
- 🇬🇩 Grenada (2025)
- 🇬🇹 Guatemala (2025)
- 🇬🇳 Guinea (2025)
- 🇬🇶 Equatorial Guinea (2025)
- 🇬🇼 Guinea-Bissau (2025)
- 🇬🇾 Guyana (2025)
- 🇭🇹 Haiti (2025)
- 🇭🇳 Honduras (2025)
- 🇭🇺 Hungary (2025)
- 🇲🇭 Marshall Islands (2025)
- 🇸🇧 Solomon Islands (2025)
- 🇮🇩 Indonesia (2025)
- 🇮🇪 Ireland (2025)
- 🇯🇲 Jamaica (2025)
- 🇰🇿 Kazakhstan (2025)
- 🇰🇪 Kenya (2025)
- 🇰🇬 Kyrgyzstan (2025)
- 🇰🇮 Kiribati (2025)
- 🇽🇰 Kosovo (2025)
- 🇱🇦 Laos (2025)
- 🇱🇸 Lesotho (2025)
- 🇱🇻 Latvia (2025)
- 🇱🇧 Lebanon (2025)
- 🇱🇷 Liberia (2025)
- 🇱🇾 Libya (2025)
- 🇱🇮 Liechtenstein (2025)
- 🇱🇹 Lithuania (2025)
- 🇱🇺 Luxembourg (2025)
- 🇲🇰 North Macedonia (2025)
- 🇲🇬 Madagascar (2025)
- 🇲🇾 Malaysia (2025)
- 🇲🇼 Malawi (2025)
- 🇲🇻 Maldives (2025)
- 🇲🇱 Mali (2025)
- 🇲🇦 Morocco (2025)
- 🇲🇺 Mauritius (2025)
- 🇲🇷 Mauritania (2025)
- 🇲🇩 Moldova (2025)
- 🇲🇨 Monaco (2025)
- 🇲🇳 Mongolia (2025)
- 🇲🇪 Montenegro (2025)
- 🇲🇿 Mozambique (2025)
- 🇳🇦 Namibia (2025)
- 🇳🇷 Nauru (2025)
- 🇳🇵 Nepal (2025)
- 🇳🇮 Nicaragua (2025)
- 🇳🇪 Niger (2025)
- 🇳🇬 Nigeria (2025)
- 🇳🇿 New Zealand (2025)
- 🇺🇬 Uganda (2025)
- 🇺🇿 Uzbekistan (2025)
- 🇵🇰 Pakistan (2025)
- 🇵🇼 Palau (2025)
- 🇵🇦 Panama (2025)
- 🇵🇬 Papua New Guinea (2025)
- 🇵🇾 Paraguay (2025)
- 🇵🇪 Peru (2025)
- 🇵🇭 Philippines (2025)
- 🇵🇱 Poland (2025)
- 🇶🇦 Qatar (2025)
- 🇨🇫 Central African Republic (2025)
- 🇨🇩 Congo - Kinshasa (2025)
- 🇩🇴 Dominican Republic (2025)
- 🇨🇬 Congo - Brazzaville (2025)
- 🇷🇴 Romania (2025)
- 🇷🇼 Rwanda (2025)
- 🇰🇳 St. Kitts & Nevis (2025)
- 🇸🇲 San Marino (2025)
- 🇻🇨 St. Vincent & Grenadines (2025)
- 🇱🇨 St. Lucia (2025)
- 🇸🇻 El Salvador (2025)
- 🇼🇸 Samoa (2025)
- 🇸🇹 São Tomé & Príncipe (2025)
- 🇸🇳 Senegal (2025)
- 🇸🇨 Seychelles (2025)
- 🇸🇱 Sierra Leone (2025)
- 🇸🇬 Singapore (2025)
- 🇸🇰 Slovakia (2025)
- 🇸🇮 Slovenia (2025)
- 🇸🇴 Somalia (2025)
- 🇸🇩 Sudan (2025)
- 🇱🇰 Sri Lanka (2025)
- 🇸🇷 Suriname (2025)
- 🇸🇾 Syria (2025)
- 🇹🇯 Tajikistan (2025)
- 🇹🇼 Taiwan (2025)
- 🇹🇿 Tanzania (2025)
- 🇹🇩 Chad (2025)
- 🇹🇱 Timor-Leste (2025)
- 🇹🇬 Togo (2025)
- 🇹🇴 Tonga (2025)
- 🇹🇹 Trinidad & Tobago (2025)
- 🇹🇳 Tunisia (2025)
- 🇹🇲 Turkmenistan (2025)
- 🇹🇷 Türkiye (2025)
- 🇹🇻 Tuvalu (2025)
- 🇺🇦 Ukraine (2025)
- 🇻🇺 Vanuatu (2025)
- 🇻🇪 Venezuela (2025)
- 🇻🇳 Vietnam (2025)
- 🇾🇪 Yemen (2025)
- 🇿🇲 Zambia (2025)
- 🇿🇼 Zimbabwe (2025)
Restricted for adults and minors (10)
- 🇸🇦 Saudi Arabia (2025)
- 🇲🇲 Myanmar (Burma) (2025)
- 🇪🇬 Egypt (2025)
- 🇦🇪 United Arab Emirates (2025)
- 🇬🇪 Georgia (2025)
- 🇯🇴 Jordan (2025)
- 🇰🇼 Kuwait (2025)
- 🇴🇲 Oman (2025)
- 🇨🇳 China (2025)
- 🇷🇺 Russia (2025)
Varies or other (7)
- 🇨🇦 Canada (2025)
- 🇪🇸 Spain (2025)
- 🇺🇸 United States (2025)
- 🇮🇶 Iraq (2025)
- 🇲🇽 Mexico (2025)
- 🇬🇧 United Kingdom (2025)
- 🇸🇪 Sweden (2025)
Frequently asked questions
Where does the "Gender-affirming care: coverage and restrictions" data come from?
It comes from Velasco, LGBTI National Policy Dataset (via Our World in Data). Site last updated: November 8, 2026. Each country is shown with the year of its most recent value.
What does gender-affirming care cover?
It covers care that helps a person live according to their gender identity, for example hormone treatment or surgery. Its exact content varies depending on the situation.
What does “neither coverage nor national restriction” mean?
National law provides neither public funding for this care nor a ban. The situation then depends on other rules, local practices or the private sector.
Source and update
Source : Velasco, LGBTI National Policy Dataset (via Our World in Data). Site last updated: November 8, 2026.
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