Lesbian, gay, bisexual, transgender (LGBT) people in American Samoa face legal challenges not experienced by non-LGBTQ residents.

Same-sex couples married legally in other jurisdictions are recognized and must be treated equally under US federal law since 13 December 2022.

In 1979, the Fono revised criminal law so that consensual sodomy was no longer illegal, unless it involved public acts, prostitution, minors or people unable to give consent due to mental illness.

[9] In July 2015, Attorney General Talauega Eleasalo Ale said that his office was "reviewing the decision to determine its applicability to American Samoa.

"[10][11] A week later, Governor Lolo Matalasi Moliga stated he believed that the Supreme Court's same-sex marriage ruling does not apply to American Samoa.

Chimene Keitner, an expert on territorial issues at the University of California, Hastings College of the Law, said that for same-sex marriage to be recognized in American Samoa, there needs to be a voluntary decision or litigation.

The High Court of American Samoa has held that birth certificates should only be altered to correct information that was erroneous at the time of recordation or to reflect a name change due to adoption.

There is a long-standing tradition of raising some boys as girls to play an important domestic role in Samoan communal life.

Well known fa'afafine include artist Dan Taulapapa McMullin, football player Jaiyah Saelua,[19] and beauty pageant Marion Malena.

Nevertheless, American Samoan society is highly religious, and conservative attitudes regarding gender and sexuality tend to dominate.

The association annually organizes events and festivals, and campaigns for the betterment of the fa'afafine community in American Samoa.

Organized by the Society of Fa'afafine in American Samoa, the event included a pageant, and song, dance and poetry choral competitions.