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Gender Reassignment Surgery Statistics Uk

Statistics on gender recognition applications.

Quarterly Official Statistics Summary

Official statistics from the Gender Recognition Panel are released quarterly in Tribunal and Gender Recognition Statistics Quarterly.

The most recent statistics go up to the end of June 2015. The key points are:

  • A total of 100 applications were received by the Gender Recognition Panel (GRP) in April to June 2015 (highest since 2009). This includes:
    • 91 Standard Track applications
    • 6 Alternative Track Applications
    • 3 Overseas Track Applications
  • A total of 104 applications were finalised in October to December 2014. This includes:
    • 93 full Gender Recognition Certificates were issues. Of these:
      • 68 were to people becoming legally female
      • 25 were to people becoming legally male
      • 28 were to people who were married
      • 65 were to people who were neither married nor in a civil partnership
    • 0 interim Gender Recognition Certificates were issued
    • 5 applications were declined
    • 3 applications were withdrawn
    • 2 applications were refused due to an administrative error
    • 1 application was refused as no fee was paid
  • As of the end of June 2015, since the Gender Recognition Act 2004 came into force (April 2005):
    • 4,631 applications have been received
    • 3,999 full Gender Recognition Certificates have been issued by the GRP
    • 183 interim Gender Recognition Certificates have been issued by the GRP (67% converted to full GRCs)
    • 193 applications have been declined
    • 110 applications are still pending

Further Information Obtained by UK Trans Info (December 2014)

Anyone who holds a UK birth certificate who then receives a full Gender Recognition Certificate is entitled to a new birth or adoption certificate, which is recorded in one of the Gender Recognition Registers. There are three Gender Recognition Registers - one for England and Wales, one for Scotland and one for Northern Ireland. UK Trans Info has requested and received statistics about these registers from the relevant Registrar Generals.

Up until the end of December 2014 there have been 3,779 entries made in the Gender Recognition Register. This means 54 full Gender Recognition Certificates have been issued but not recorded in a Gender Recognition Register. This could be people who were born outside the UK, or people who haven't yet completed the registration process.

Of those 3,779 entries:

  • 3,485 were from the England & Wales register. This includes: 
    • 2,673 people who are now legally female
    • 812 people who are now legally male
  • 239 were from the Scottish register. This includes:
    • 152 people who are now legally female
    • 87 who are now legally male
  • 55 were from the Northern Irish register. This includes:
    • 41 people who are now legally female
    • 14 who are now legally male

The entries also vary slightly depending on how the birth was originally registered. Of the 3,779 entries:

  • 3,565 people who were born in the UK, and haven't had a subsequent adoption or parental order issued
  • 153 people who were adopted in the UK
  • 21 people who were born overseas, but to parent(s) in the British Armed Forces
  • 40 people who were born overseas, but to parent(s) who were British citizens, whose birth was registered with the British consul or UK High Commission.

Caitlyn Jenner.Getty Images

Plastic surgeons performed more than 3,250 operations to help people physically confirm their genders in 2016 — a 19% increase compared to the previous year in the US.

Such operations included everything from changing the shape of a transgender person's face or body to sex reassignment.

"There is no one-size-fits-all approach to gender confirmation," Dr. Loren Schechter, a Chicago-based plastic surgeon, said in a press release. "There's a wide spectrum of surgeries that someone may choose to treat gender dysphoria, which is a disconnect between how an individual feels and what that person's anatomic characteristics are."

The American Society of Plastic Surgeons (ASPS), of which Schechter is a member, released the statistics on Monday, along with data on 1.78 million cosmetic surgeries performed in 2016.

The organization says its report is the first of its kind for the US — a country where conversations about transgender issues are rapidly evolving with the help of grassroots activists and prominent celebrities, such as Laverne Cox (of "Orange is the New Black") and Caitlyn Jenner (an Olympic gold medalist).

Sarah McBride, a press secretary for the Human Rights Campaign agreed the data is novel and important, adding that "there's been a real dearth" of statistics about the transgender community until recently.

"I think it's not surprising that we're seeing an increase, for a couple of reasons," McBride told Business Insider. "We're seeing more and more people get access to transgender-inclusive healthcare and the medically necessary surgeries it covers. We're also seeing more people come out and needing transgender-related care."

Skye Gould/Business Insider

But McBride says that, while the new numbers highlight progress — an increasing number of medical organizations and insurers consider gender-related surgeries medically necessary — they also show a canyon of disparity in access to care: An estimated 1.4 million transgender people live in the US, yet many don't have affordable access to gender transition surgeries.

"Roughly a third of trans folks have undergone some gender-transition related surgery," McBride wrote in an email to Business Insider. "14 percent of trans women and 21 percent of trans men say they are never interested in having surgery, but its difficult to say exactly where the remaining sixty-ish percent are in terms of desire for surgery."

Gender confirmation surgeries cost about $20,000 to $30,000, and that's out-of-pocket, since McBride says many insurance plans "categorically exclude" transgender people from receiving the same treatments that others enjoy access to. In fact, a perfect storm of necessity, expense, and discrimination is a big reason that many transgender people in the US seek treatment outside of the country.

McBride added that because no medical procedure is without risk and not every transgender person is a candidate for confirmation surgeries, seeking out the advice of medical experts is a must.

Still, she says, the value of such operations for many is clear.

"This is care that many of these people need to live and to thrive," McBride says. "It allows them to live full and authentic and healthy lives."

Correction: Business Insider was sent survey data on some surgeries related to gender reassignment that turned out not to meet statistical significance. We have removed this data from the chart included in this story.

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