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Data

Gender-affirming care

Velasco

What you should know about this indicator

  • 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 197 countries, with annual data starting in 1991.
  • 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 only (gender-affirming healthcare is publicly funded for adults but not for minors), 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 both coverage and restriction are recorded in the same year because of a mid-year policy change) and Restricted for both (gender-affirming healthcare is explicitly restricted or banned for both adults and minors).
Gender-affirming care
Velasco
Interventions that help transgender and non-binary people align their bodies with their gender identity — such as hormone replacement therapy or surgery for adults, and puberty blockers, cross-sex hormones, or surgery for minors.
Source
Velasco (2026) – with major processing by Our World in Data
Last updated
May 11, 2026
Next expected update
May 2027
Date range
1991–2025

Sources and processing

This data is based on the following sources

Velasco – LGBTI National Policy Dataset

The LGBTI National Policy Dataset (Version 2.0) is a country-year-policy panel dataset tracking the adoption, scope, and enforcement of LGBTI-related policies across 197 countries from 1991 to 2025. The dataset is distributed in long format, where each row represents a single country in a single year for one specific policy-status combination. It is designed for use in comparative political research, policy diffusion analysis, and quantitative cross-national studies of LGBTI rights.

The dataset covers 27 distinct policy areas organized into 54 policy-status combinations (each policy paired with two mutually exclusive status directions). Of these 54 combinations, 36 contain substantive data; the remaining 18 are structural placeholders with all-zero values, included to maintain a fully balanced panel suitable for econometric methods.

Retrieved on
May 11, 2026
Retrieved from
https://osf.io/wta9p/overview
Citation
This is the citation of the original data obtained from the source, prior to any processing or adaptation by Our World in Data. To cite data downloaded from this page, please use the suggested citation given in Reuse This Work below.
Velasco, Kristopher. 2026. "LGBTI National Policy Dataset, Version 2.0." [Dataset].

The LGBTI National Policy Dataset (Version 2.0) is a country-year-policy panel dataset tracking the adoption, scope, and enforcement of LGBTI-related policies across 197 countries from 1991 to 2025. The dataset is distributed in long format, where each row represents a single country in a single year for one specific policy-status combination. It is designed for use in comparative political research, policy diffusion analysis, and quantitative cross-national studies of LGBTI rights.

The dataset covers 27 distinct policy areas organized into 54 policy-status combinations (each policy paired with two mutually exclusive status directions). Of these 54 combinations, 36 contain substantive data; the remaining 18 are structural placeholders with all-zero values, included to maintain a fully balanced panel suitable for econometric methods.

Retrieved on
May 11, 2026
Retrieved from
https://osf.io/wta9p/overview
Citation
This is the citation of the original data obtained from the source, prior to any processing or adaptation by Our World in Data. To cite data downloaded from this page, please use the suggested citation given in Reuse This Work below.
Velasco, Kristopher. 2026. "LGBTI National Policy Dataset, Version 2.0." [Dataset].

How we process data at Our World in Data

All data and visualizations on Our World in Data rely on data sourced from one or several original data providers. Preparing this original data involves several processing steps. Depending on the data, this can include standardizing country names and world region definitions, converting units, calculating derived indicators such as per capita measures, as well as adding or adapting metadata such as the name or the description given to an indicator.

At the link below you can find a detailed description of the structure of our data pipeline, including links to all the code used to prepare data across Our World in Data.

Read about our data pipeline
Notes on our processing step for this indicator

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 patterns get a dedicated category (e.g. covered for both, adults covered with minors restricted); rarer combinations are grouped as "Varies by region or other".

Reuse this work

  • All data produced by third-party providers and made available by Our World in Data are subject to the license terms from the original providers. Our work would not be possible without the data providers we rely on, so we ask you to always cite them appropriately (see below). This is crucial to allow data providers to continue doing their work, enhancing, maintaining and updating valuable data.
  • All data, visualizations, and code produced by Our World in Data are completely open access under the Creative Commons BY license. You have the permission to use, distribute, and reproduce these in any medium, provided the source and authors are credited.

Citations

How to cite this page

To cite this page overall, including any descriptions, FAQs or explanations of the data authored by Our World in Data, please use the following citation:

“Data Page: Gender-affirming care”, part of the following publication: Bastian Herre and Pablo Arriagada (2023) - “LGBT+ Rights”. Data adapted from Velasco. Retrieved from https://archive.ourworldindata.org/20260520-161739/grapher/gender-affirming-care-velasco.html [online resource] (archived on May 20, 2026).

How to cite this data

In-line citationIf you have limited space (e.g. in data visualizations), you can use this abbreviated in-line citation:

Velasco (2026) – with major processing by Our World in Data

Full citation

Velasco (2026) – with major processing by Our World in Data. “Gender-affirming care – Velasco” [dataset]. Velasco, “LGBTI National Policy Dataset 2.0” [original data]. Retrieved May 20, 2026 from https://archive.ourworldindata.org/20260520-161739/grapher/gender-affirming-care-velasco.html (archived on May 20, 2026).

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