Lesbian, gay, bisexual, and transgender (LGBT) people in North Macedonia face discrimination and some legal and social challenges not experienced by non-LGBT residents.

[4] In September 2013, a proposed constitutional amendment to define marriage as a union between a man and a woman failed to meet the required two-thirds majority in the Assembly of North Macedonia.

[9] In March 2019, with 52 votes in favour and three abstentions, the Parliament adopted a new anti-discrimination law[10] that includes sexual orientation and gender identity, among other grounds.

The judgment held that deficiencies in North Macedonia's laws concerning modifying gender on official identification documents infringed the private life of transgender Macedonians.

[18] There are many reports about public humiliations, worker firings and even casting homosexual teenagers onto the streets due to revelation of their sexual orientations.

[24] A survey carried out in 2002 by the Center for Civil and Human Rights showed that more than 80% of the people saw homosexuality as "a psychiatric disorder that endangered families".

According to the coalition, the Skopje public prosecutor remained ineffective in processing pending cases involving hate speech targeting members of the LGBTI community.

Despite the court ruling, NGOs complained the government failed to recognize gender identity changes in identification documents.

On June 29, the day of the country’s first ever pride parade, approximately 20 persons attacked prominent LGBTI activist Bekim Asani in Skopje.

The Law on Primary Education, adopted in July, introduced antidiscrimination language related to sexual orientation and gender identity.

Amendments to the Criminal Code specifically list sexual orientation and gender identity in the section regulating hate speech.