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The gender reassignment surgery market size is forecast to increase by USD 369 million, at a CAGR of 11.92% between 2023 and 2028. The growth of the market is driven by several key factors. Firstly, there has been an increase in the number of people opting for sex change surgeries globally, reflecting a growing societal acceptance and awareness. This trend is supported by favourable government policies that promote inclusivity and provide legal frameworks for gender reassignment procedures. Additionally, the expanding insurance coverage for gender reassignment surgeries has made these procedures more accessible and affordable for individuals seeking such treatments. These factors together contribute to the growth and evolution of the market for gender reassignment surgical procedures. As societal norms and healthcare policies continue to evolve, the market is poised to further expand, meeting the needs of individuals seeking these transformative healthcare services.
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The market is driven by evolving healthcare policies and shifting cultural attitudes towards gender perspectives. Medical innovations in genital reconstruction and facial surgeries have revolutionized the industry, offering individuals opportunities for comprehensive healthcare. However, ethical and legal concerns, coupled with affordability issues, present challenges. Despite advancements, the average cost of procedures like phalloplasty remains high, limiting accessibility for many. Moreover, mental health-related anxiety and confidence issues post-surgery underscore the need for supportive healthcare centers. Industry progress in addressing these challenges is ongoing, aiming to ensure satisfactory life outcomes for individuals undergoing gender reassignment. Moving forward, achieving gender recognition officially and addressing trauma associated with gender dysphoria are crucial aspects for the continued growth and acceptance of the GRS market. Our researchers analyzed the market research and growth data with 2023 as the base year, along with the key drivers, trends, and challenges. A holistic analysis of drivers will help companies refine their marketing strategies to gain a competitive advantage.
The increase in the number of people opting for sex change surgeries globally is the key factor driving the global market growth. Estimates suggest that the annual number of gender reassignment procedures conducted in the United States ranges from 100 to 500. Globally, the number of such surgeries performed is believed to be 2 to 5 times higher than in the US. The Standards of Care outlined by the World Professional Association of Transgender Health (WPATH) advocate for recommending gender surgery for individuals aged 18 and above.
As per the 2020 Plastic Surgery Statistics provided by the American Society of Plastic Surgeons (ASPS), there were 6,368 gender confirmation surgeries performed on trans females in the US, compared to 5,616 in 2019. Additionally, statistics from the International Society of Aesthetic Plastic Surgery reveal that 9.2% of plastic surgeons globally underwent gender reassignment surgery in 2020. These figures underscore the increasing demand for gender-affirming procedures and highlight the importance of comprehensive transgender healthcare services, including pre-operative and post-operative care, hormone therapy, and mental health support, in enhancing the quality of life for individuals with gender dysphoria.
The rising awareness among the transgender population about gender reassignment surgeries is one of the emerging market trends. There has been an increase in the demand globally. The advent of social media has provided the transgender population with a tool for increased visibility and has led to improved societal understanding and acceptance. All transgender people who wish to transition should be offered fertility consultation to explore their options, which may involve fertility preservation, such as sperm or oocyte cryopreservation.
Further, the population of transgender people is increasing, and individuals are beginning to transition at an earlier age. Therefore, rising awareness among the transgender population about gender reassignment surgeries is expected to boost the growth of the sex reassignment surgery market during the forecast period.
The high cost of surgeries is a major challenge to the market growth. The typical total cost includes the expenses incurred in the year preceding the surgery, during which hormone therapy, counselling, and living full-time as a person of the target sex is recommended. Besides this, the cost of the surgery includes the cost of the actual surgical procedures and follow-up care as well as ongoing costs after the surgery, including hormone therapy for life and continued doctor visits.
Apart from the cost, there are additional expenses related to medication and therapy. A year of therapy with a psychologist is compulsory before undergoing physical transition globally. Thus, the high cost of gender reassignment surgeries poses a major drawback, which can negatively impact the growth of the market during the forecast period.
The market forecasting report includes the adoption lifecycle of the market, covering from the innovator’s stage to the laggard’s stage. It focuses on adoption rates in different regions based on penetration. Furthermore, the report also includes key purchase criteria and drivers of price sensitivity to help companies evaluate and develop their market growth and forecasting strategies.
Market Customer Landscape
Companies are implementing various strategies, such as strategic alliances, partnerships, mergers and acquisitions, geographical expansion, and product/service launches, to enhance their presence in the market.
Boston Medical Center- The company offers gender reassignment surgery such as Neovaginoplasty.
The research report also includes detailed analyses of the competitive landscape of the market and information about 15 market companies, including:
Qualitative and quantitative analysis of companies has been conducted to help clients understand the wider business environment as well as the strengths and weaknesses of key market players. Data is qualitatively analyzed to categorize companies as pure play, category-focused, industry-focused, and diversified; it is quantitatively analyzed to categorize companies as dominant, leading, strong, tentative, and weak.
The market share growth of the male to female segment will be significant during the forecast period. Male to female gender reassignment surgery involves the reshaping of the male genitals into a form that has the appearance of, and to some extent, the function of female genitalia. Before any surgery, patients usually undergo female hormone therapy to make them appear more feminine, though this is not a requirement. There are associated surgeries that patients may opt to undergo, including vaginoplasty, facial hair removal, breast augmentation, facial feminization, and various other procedures.
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The male to female segment was valued at USD 225.20 million in 2018. During a male to female gender reassignment procedure, parts of the original penis are used to create a sensate neo-vagina. The testicles are removed in a procedure called orchiectomy. The skin from the scrotum is used to make the labia. The erectile tissue of the penis is used to make the neo-clitoris. However, the urethra is preserved and remains functional. Sex change procedures are irreversible. Therefore, anyone who wishes to undergo a sex change operation from male to female should carefully consider the decision. Such factors will increase the market growth during the forecast period.
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North America is estimated to contribute 50% to the growth of the global market during the forecast period. Technavio’s analysts have elaborately explained the regional trends and drivers that shape the market during the forecast period. Gender reassignment surgeries are performed by a multispecialty staff of surgeons, which usually includes board-certified or licensed plastic surgeons. The basic objective of these surgical procedures is to give transgender individuals the functional abilities and physical appearance of the gender that they identify with, both emotionally and psychologically. This type includes procedures such as transfeminine bottom surgery, transfeminine top surgery, transmasculine top surgery, facial feminization procedure, facial masculinization surgery, and transmasculine bottom surgery.
In addition, the rise in the incidence of gender dysphoria and the increasing number of people who opt for gender reassignment surgeries are expected to drive the growth of the market in the region during the forecast period in the US market. Insurance providers such as Aetna Inc. (Aetna) and Unicare provide insurance for necessary surgical procedures, such as bilateral salpingo-oophorectomy, hysterectomy, orchiectomy, or ovariectomy. Therefore, the improving reimbursement scenario is expected to positively impact the growth of the regional market during the forecast period.
The market research report provides comprehensive data (region wise segment analysis), with forecasts and estimates in "USD Million" for the period 2024-2028, as well as historical data from 2018 - 2022 for the following segments.
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The market is influenced by ethical and affordability concerns alongside antidiscrimination laws, fostering access to specialized clinics and ambulatory surgical options for male-to-female and female-to-male surgeries. Cultural norms impact individual preferences, while medical advancements in body contouring surgery ensure skilled surgical teams deliver quality outcomes. Stigma reduction and transgender rights advocacy drive societal acceptance, though medical interventions must address mental illnesses like depression. Insurance coverage and regulatory bodies play pivotal roles in ensuring access and quality, although wait times and surgical fees remain challenges. Dominant players and emerging entrants in medical centers offer innovative techniques and personalized services, enhancing surgical quality and recovery times. Public awareness and disposable incomes, bolstered by awareness campaigns, empower communities to advocate for gender affirmation and challenge societal stigma.
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Market Scope |
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Report Coverage |
Details |
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Page number |
155 |
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Base year |
2023 |
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Historic period |
2018-2022 |
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Forecast period |
2024-2028 |
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Growth momentum & CAGR |
Accelerate at a CAGR of 11.92% |
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Market Growth 2024-2028 |
USD 369 million |
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Market structure |
Fragmented |
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YoY growth 2023-2024(%) |
9.22 |
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Regional analysis |
North America, Europe, Asia, and Rest of World (ROW) |
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Performing market contribution |
North America at 50% |
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Key countries |
US, UK, Germany, Canada, and Thailand |
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Competitive landscape |
Leading Companies, Market Positioning of Companies, Competitive Strategies, and Industry Risks |
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Key companies profiled |
Andrew Ives., Boston Childrens Hospital, Boston Medical Center, Chettawut Plastic Surgery Center, CNY Cosmetic and Reconstructive Surgery, Crane Center, Icahn School of Medicine at Mount Sinai, IVAN MANERO CLINIC S.L., Moein Surgical Arts, Oregon Health and Science University, Phuket International Aesthetic Centre PIAC, Plastic Surgery Group of Rochester, Regents of the University of Michigan, Rumer Cosmetic Surgery, Sava Perovic Foundation Surgery, The Johns Hopkins Health System Corp., Transgender Surgery Institute, and University of Pennsylvania Health System |
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Market dynamics |
Parent market growth analysis, Market Forecast, Market growth inducers and obstacles, Fast-growing and slow-growing segment analysis, COVID-19 impact and recovery analysis and future consumer dynamics, and Market condition analysis for the forecast period. |
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Customization purview |
If our market report has not included the data that you are looking for, you can reach out to our analysts and get segments customized. |
We can help! Our analysts can customize this market research report to meet your requirements.
1 Executive Summary
2 Market Landscape
3 Market Sizing
4 Historic Market Size
5 Five Forces Analysis
6 Market Segmentation by Type
7 Market Segmentation by End-user
8 Customer Landscape
9 Geographic Landscape
10 Drivers, Challenges, and Opportunity/Restraints
11 Competitive Landscape
12 Competitive Analysis
13 Appendix
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