Friday, July 12, 2024
EducationLGBTQ+ Rights

Updated ‘Trans in the South’ guide aims to combat anti-trans bias

An expanded and updated guide has been released to connect transgender Southerners with affirming health and legal service providers.

The Campaign for Southern Equality (CSE) has released the 2021 edition of Trans in the South: A Directory of Trans-Affirming Health & Legal Service Providers. The need for access to affirming care has been made more urgent by the wave of Southern laws and bills that could limit access to health care for transgender people.

Nearly 400 providers from across the South – including primary care physicians, mental health providers, lawyers, endocrinologists, HIV care providers, reproductive health experts, and more – who report being trans-affirming are included in the guide. The site also includes information about insurance coding; additional national, regional, and state directories; and resources to assist with funding medical transition. 

The guide, which CSE has published since 2016, has been upgraded to be digital and interactive, with new features allowing users to easily search for providers and filter by their specific location and needs. Since 2016 more than 50,000 users have sought support from the guide. 

The Trans in the South guide is premised on the principle of trans people sharing resources to help each other find the services they need. A Research & Development team of trans leaders from across the South played a leadership role in expanding the guide, drawing on their community expertise and lived experiences. Read more about this year’s Research & Development team here. 

Ivy Hill, Community Health Program Director at the Campaign for Southern Equality says every trans person should be able to access health care

Ivy Hill, Community Health Program Director at the Campaign for Southern Equality, said: “We believe that every transgender person – no matter where they live – should be able to access the health care, medical services, and legal support they need to lead healthy lives where they can thrive. But the reality is that accessing friendly and affirming medical providers, therapists, and lawyers can be difficult as a transgender Southerner. With this new interactive edition, the guide will be updated on a rolling basis, with new providers added as folks across the South contribute knowledge and experiences to the resource.”

The update to the Trans in the South guide is being released against the backdrop of states across the South and nation considering discriminatory legislation targeting transgender people. Some of the bills would specifically ban medical providers from providing affirming medical care to transgender youth, while others would grant medical providers a “license to discriminate” against LGBTQ people and others. 

According to responses from the Campaign for Southern Equality’s 2019 Southern LGBTQ Health Survey:

  • 72.7% of transgender respondents said that being in the South always or often makes it harder for LGBTQ people to access medical care. 
  • Only 12.6% of transgender respondents said that they always feel comfortable seeking medical care in their community, while 26.5% of transgender respondents said they rarely or never feel comfortable. 
  • Nearly half (47.5%) of transgender respondents said they always or often need to educate their providers about their LGBTQ identity,

Allison Scott, Director of Impact & Innovation at the Campaign for Southern Equality, said:

“In a perfect world, trans and queer people would not need a guide like Trans in the South. But right now, the hostile climate that persists in many parts of the South means trans people often must take extra steps or travel hours to protect their rights and access basic health care and services. As we keep up the fight to defeat discriminatory laws and educate more providers, the Trans in the South guide helps transgender people connect with providers who will offer the care they need and deserve. It also means people don’t have to go through the difficult experience of cold calling providers to find out if they will be served.”

The Trans in the South guide is a pillar of the Campaign for Southern Equality’s Community Health Program, which works toward ensuring that every LGBTQ person in the South can access LGBTQ-friendly health care and legal services, and support services locally. Through Pop-Up Clinics, our Southern LGBTQ Health Initiative (a partnership with Western NC Community Health Services), and continuing education trainings, we’re working to serve transgender and queer people across the region. 

Click here to access Trans in the South: A Directory of Trans-Affirming Health & Legal Service Providers. 


Based in Asheville, NC, the Campaign for Southern Equality promotes full LGBTQ equality across the South. Our work is rooted in commitments to equity in race, gender and class.

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