Reports

Bans on Gender-Affirming Care for Transgender Youth in the US

The 98-page report, “‘They’re Ruining People’s Lives’: Bans on Gender-Affirming Care for Transgender Youth in the US,” documents the devastating consequences of these bans for transgender youth, including increased anxiety, depression, and, in seven reported instances, suicide attempts. Human Rights Watch found that these laws contribute to an increasingly hostile, anti-trans climate, compelling youth to hide their identities and socially withdraw. The bans also destabilize health care systems and undermine civil society and create geographic and financial challenges in accessing care. The impact has intensified since early 2025, when the administration of President Donald Trump took a series of executive actions escalating federal attacks on transgender rights.

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  • January 8, 2018

    Violence and Discrimination against LGBT People in Ghana

    This report shows how retention of section 104(1)(b) of the Criminal Offences Act, 1960, prohibiting and punishing “unnatural carnal knowledge,” and failure to actively address violence and discrimination, relegate LGBT Ghanaians to effective second-class citizenship. Police officials and the Commission on Human Rights and Administrative Justice (CHRAJ) have taken some steps to protect LGBT people. But they are still frequent victims of physical violence and psychological abuse, extortion, and discrimination in many aspects of their daily life.

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    LGBT Ghana report cover in English
  • November 15, 2017

    Conversion Therapy Against LGBT People in China

    This report is based on interviews with 17 people who endured conversion therapy, describes how parents threatened, coerced, and sometimes physically forced their adult and adolescent children to submit to conversion therapy. In these facilities – including both public hospitals, which are government-run and monitored, and private clinics, which are licensed and supervised by the National Health and Family Planning Commission – medical professionals subjected them to “therapy” that in some cases entailed involuntary confinement, forcible medication, and electroshocks, which can constitute a form of torture.

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    Cover for China Report
  • October 26, 2017

    US Medical Provider Discomfort with Intersex Care Practices

    This report examines the controversy over the operations inside the medical community and the pressure on parents to opt for surgery. Once called “hermaphrodites”—a term now considered pejorative and outdated, intersex people are not rare, but their needs are widely misunderstood. Based on a medical theory popularized in the 1960s, doctors perform surgery on intersex children—often in infancy—with the stated aim of making it easier for them to grow up “normal.” The results are often catastrophic, the supposed benefits are largely unproven, and there are rarely urgent health considerations requiring immediate, irreversible intervention.

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    Cover for Intersex Report
  • July 25, 2017

    Medically Unnecessary Surgeries on Intersex Children in the US

    This report examines the physical and psychological damage caused by medically unnecessary surgery on intersex people, who are born with chromosomes, gonads, sex organs, or genitalia that differ from those seen as socially typical for boys and girls. The report examines the controversy over the operations inside the medical community, and the pressure on parents to opt for surgery.

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    Cover of the Intersex Report
  • June 21, 2017

    Discrimination Against LGBT Students in the Philippines

    This report documents the range of abuses against lesbian, gay, bisexual, and transgender (LGBT) students in secondary school. It details widespread bullying and harassment, discriminatory policies and practices, and an absence of supportive resources that undermine the right to education under international law and put LGBT youth at risk.

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    Cover of the Philippines Report
  • May 26, 2017

    Anti-Gay Purge by Local Authorities in Russia’s Chechen Republic

    This report is based on first-hand interviews with victims of the campaign against gay men that Chechnya’s law enforcement and security officials conducted in spring, 2017.

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    Cover of the Chechnya LGBT report
  • December 23, 2016

    Abuses in Bangladesh’s Legal Recognition of Hijras

    This report documents abuses suffered by a group of hijras, when they were forced to undergo so-called medical examinations at a hospital in Dhaka, the capital, in 2015, as part of a government employment program. The medical exams were ordered as part of the routine government hiring procedure, but absent a clear procedure to identify and respect hijras, hospital staff responded based on their own personal biases. Although a 2013 directive from the cabinet recognizes hijras as a third gender, the government has not developed rights-based procedures for changing their gender on official documents, leaving them open to abuse when they seek to assert their rights, Human Rights Watch found. 

    Cover of the Bangladesh LGBT report
  • December 8, 2016

    Government Barriers to Condom Use by Men Who Have Sex With Men

    This report documents the failure of national and local governments in the Philippines to address the growing HIV prevalence among men who have sex with men.

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    Cover of the Philippines report
  • December 7, 2016

    Discrimination Against LGBT Youth in US Schools

    This report documents a range of problems facing LGBT students. The concerns include bullying and harassment, exclusion of LGBT topics from school curricula and resources, restrictions on LGBT student groups, and discrimination and bigotry from both classmates and school personnel on the basis of sexual orientation and gender identity.

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    Cover for the US LGBT Schools report
  • October 20, 2016

    The Impact of Nigeria’s Same Sex Marriage (Prohibition) Act

    This report shows how the law, which took effect in January 2014, is used by some police officers and members of the public to legitimize abuses against LGBT people, including widespread extortion, mob violence, arbitrary arrest, torture in detention, and physical and sexual violence. The law has created opportunities for people to engage in homophobic violence without fear of legal consequences, contributing significantly to a climate of impunity for crimes against LGBT people.

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    Cover of the Nigeria Report
  • September 14, 2016

    Restrictions on Bathroom and Locker Room Access for Transgender Youth in US Schools

    This report examines how transgender youth are adversely affected by rules that bar them from using bathrooms and locker rooms matching their gender identity. Transgender students described how these rules have given rise to physical and verbal harassment, and adversely affected their physical and mental health, academic achievement, and participation in school.

    Cover for the US LGBT report
  • August 15, 2016

    Discrimination on Grounds of Gender Identity and Sexual Orientation in Sri Lanka

    This report finds that people who don’t conform to gender norms face arbitrary detention, mistreatment, and discrimination accessing employment, housing, and health care. The government should protect the rights of transgender people and others who face similar discrimination, Human Rights Watch said.

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    Cover image for Sri Lanka Report
  • August 10, 2016

    Indonesia’s LGBT Community Under Threat

    This report documents how officials’ biased and untrue statements about lesbian, gay, bisexual, and transgender (LGBT) people provided social sanction for harassment and violence against LGBT Indonesians, and even death threats by militant Islamists. State institutions, including the National Broadcasting Commission and the National Child Protection Commission, issued censorship directives banning information and broadcasts that portrayed the lives of LGBT people as “normal” as well as so-called “propaganda” about LGBT lives. That combination of discriminatory rhetoric and policy decisions harmed the physical security and right to free expression of LGBT people across the country.

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    Cover for the Indonesia Report
  • July 12, 2016

    Forced Anal Examinations in Homosexuality Prosecutions

    This report is based on interviews with 32 men and transgender women who underwent forced anal examinations in Cameroon, Egypt, Kenya, Lebanon, Tunisia, Turkmenistan, Uganda, and Zambia. The examinations, which have the purported objective of finding “proof” of homosexual conduct, often involve doctors or other medical personnel forcibly inserting their fingers, and sometimes other objects, into the anus of the accused. Victims of forced anal testing told Human Rights Watch that they found the exams painful and degrading; some experienced them as a form of sexual violence.

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  • May 5, 2016

    LGBT Bullying and Exclusion in Japanese Schools

    This report examines the shortcomings in Japanese government policies that expose LGBT students to bullying and inhibit access to information and self-expression. Bullying is widespread and brutal in Japan’s schools, yet government policies addressing bullying do not specifically address LGBT students, who are among the most vulnerable to bullying. Instead, the national bullying prevention policy promotes social norms at the expense of basic rights. LGBT students told Human Rights Watch that teachers have told them that by being openly gay or transgender, they are being selfish and should expect not to succeed in school.
     

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    manga drawing by Taiji Utagawa of a transgender man with head down in the dark with three white spots leading into the distance