U.S. Trans Survey

The U.S. Transgender Survey (USTS) is the largest-ever survey dedicated to the experiences of transgender people in the United States. It provides essential data to help the public, researchers, policymakers, and advocates better understand the lives of trans people and the disparities many face. 

The 2022 USTS, conducted by Advocates for Trans Equality (A4TE, formerly the National Center for Transgender Equality), includes responses from 92,329 transgender-identifying individuals—84,170 adults (ages 18 and older) and 8,159 youth (ages 16–17)—from all 50 states, the District of Columbia, five U.S. territories, and overseas military bases. As a community-based project, the survey was developed in collaboration with individuals and organizations deeply connected to trans communities across the country, with a particular emphasis on including historically underrepresented groups such as trans people of color and older transgender adults.

The 2022 USTS Health & Wellbeing Report, released in June 2025, is the third major report from the survey. It offers a comprehensive look at the health and healthcare experiences of trans adults, covering topics such as general health, transition-related care, mental health, substance use, and sexual and reproductive health. The report highlights both the challenges and resilience within trans communities and provides context by comparing findings to both the 2015 USTS and the U.S. adult general population where applicable.

Importantly, this data was collected during a time of increasing hostility toward LGBTQ+ people. In 2022 alone, over 300 anti-LGBTQ bills were introduced across the U.S., many targeting trans people’s rights and access to care. This hostile environment has only intensified in subsequent years, making the USTS an even more critical source of information at a time when federal data on trans lives is increasingly under threat. This report not only fills crucial gaps in research but also serves as a foundational tool for those working to advance health equity, protect civil rights, and improve the wellbeing of transgender and nonbinary people in the U.S.