Surge in Gender Dysphoria Rates Across U.S. States Sparks Debate on Transgender Health Care

Recent research from health data analytics firm Definitive Healthcare reveals a significant surge in gender dysphoria rates across the United States, with notable increases in several states.

The study also highlights a rise in sex change surgeries and the challenges associated with access to gender-affirming care.

National Trends:

The report indicates a 274% increase in gender dysphoria rates in Virginia, 247% in Indiana, and 193% in Utah over the past five years.

The rising prevalence of gender dysphoria is observed in nearly every state, except South Dakota.

The data suggests a growing acceptance and awareness of the condition, particularly among younger individuals.

Age Trends and Social Factors:

Children under 18 now constitute a significant portion, making up one-fifth of all new gender dysphoria cases annually.

The average age of diagnosis is decreasing, reflecting evolving societal attitudes and increased awareness among healthcare providers.

The report highlights that the overall number of sex change surgeries is escalating, with a surge of up to 40% in certain years.

State-Specific Observations:

While South Dakota experienced a decline of 23% in gender dysphoria rates, several Republican-led states, including Virginia, Indiana, and Utah, witnessed the sharpest increases.

Despite bans and restrictions on gender-affirming care in certain GOP-led states, gender dysphoria diagnoses continued to rise.

National Overview:

The data reveals that the disparity in access to gender-affirming care has contributed to higher risks for trans individuals, including mental health issues, sexually transmitted infections, substance abuse, and chronic health conditions.

The report underscores the increasing demand for gender-affirming care, even in the face of intentional limitations.

Challenges and Controversies:

Controversial medical interventions, such as hormone therapies and surgeries for transgender individuals, especially youths, have become focal points of debate.

The absence of federal age limits for such procedures in the U.S. leaves regulations up to individual states.

Despite concerns about irreversible effects, surgeries for gender transitions have increased, raising questions about the long-term consequences.

Individual Cases and Detransitioning:

Some individuals who underwent medical transitions have expressed regrets and chosen to detransition.

Cases like Kobe and Prisha Mosley highlight the complexities and potential consequences of decisions made during adolescence.

Detransitioning individuals may face physical and emotional challenges, emphasizing the need for thorough consideration and support throughout the process.


The Definitive Healthcare report sheds light on the evolving landscape of gender dysphoria diagnoses, healthcare access, and the impact of societal changes on transgender individuals.

As the conversation around transgender health care continues, the report emphasizes the importance of a comprehensive approach, considering both mental and physical well-being.

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