[1] As of 2022, more than 30 countries allow transgender military personnel to serve openly, such as Argentina, Australia, Austria, Belgium, Bolivia, Brazil, Canada, Chile, Czechia, Denmark, Estonia, Finland, France, Germany, Greece, Ireland,[2] Israel, Japan, Mexico, the Netherlands, New Zealand, Norway, Spain, Sweden, Switzerland, Ukraine and the United States.
[6] Hormone therapy can affect mood and a sense of well-being, a factor that counts against inclusion of transgender people and its effect on service capability.
A small portion of transgender soldiers seek medical intervention, yearly 30 to 140 pursue hormone treatment and 25 to 100 have surgical reassignment surgery.
It is argued that militaries that exclude transgender people on grounds of mental illness, whose policies pathologize gender dysphoria, are at odds with the current medical understanding.
Often cited are factors such as a supposed predisposition of transgender individuals to problems such as depression, anxiety, and suicidal thoughts; this is countered by the prevalence of these same issues in the LGBT community, yet in many countries their service is not excluded.
[16] Whilst militaries often cite the high medical cost of transgender people, they fail to reconcile this argument with current standards with other service members.
Morten G. Ender, David E. Rohall, and Michael D. Matthews presented the American military academy, Reserve Officers Training Corps, and civilian undergraduates with a survey to assess the general attitude on the prospect of the transgender community serving in the U.S. Armed Forces.
Overall, based on this study one year prior to the ban, the majority of the people that participated in the survey showed overwhelming support towards the inclusion of the transgender community in the United States military.
[26] There are approximately 15 transgender service member who are openly living as their identified gender,[27] with the support of ADF ranking officials who have been vocally committed to creating an inclusive and diverse military environment.
[28] In the wake of the Jedi Council sex scandal[29][30] Chief of Army released a strongly worded statement urging all service members to show moral courage, to stand against any person degrading another individual.
Sexual orientation and gender identity cannot be an obstacle for entry into the police force or the military in Brazil, and some trans women and travestis can be conscripted, like some Brazilian male citizens.
The military then issued a request to the Nancy District Court [fr] to have her gender and name altered on her birth certificate, but their decision was negative based on the fact that she had not yet undergone sex reassignment surgery so her situation was reversible.
A 1992 decision by the Cour de cassation (Court of Appeals) requires those wishing to change their legal documents to show proof of being diagnosed with "transsexual syndrome" which is listed as a long-term psychiatric disorder in France, and to have undergone surgical intervention, but the Adjutant declared that she had no "long-term psychiatric disorder", and any question about any surgical interventions she had or did not have was her private affair.
Her lawyer insinuated that the real reason for the denial had to do with her ability to still have a child, and that the court's objective was sterilization before they would accord a legal name and gender change.
The Commissioner for Human Rights of the European Council said that a transgender person "seeking to have their gender identity legally recognized should not be forced to submit to sterilization or to any other medical treatment.
[3] The New Zealand Defence Force has been lauded as a world leader in diversity and for support of the LGBTQI community, and has been ranked as number one for integration of lesbian, gay, bisexual, and transgender personnel into the nation's military.
[52] As a result, on draft day, lines of people awaiting processing may include transgender women in makeup and feminine attire, waiting along with the male draftees.
Contrary to the wide impression of acceptance of transgender women in Thailand, many complain about being treated as second-class citizens, and of the stress of being undressed or publicly humiliated.
[61] In 2014, while incarcerated in the United States Disciplinary Barracks, Manning filed a lawsuit against Secretary of Defense Hagel for failing to provide appropriate medical treatment necessary for her gender transition.
[62] In a military first, hormone therapy to assist with Manning's gender conformity was approved in early 2015 and added to her treatment plan along with other provisions such as cosmetics and female undergarments.
[63][64] Air Force Secretary Deborah Lee James openly supported a change to the military's transgender policy, stating in 2014 that it was likely to be reviewed in the next year or so.
[67] On 19 August 2015, Carter stated in a memo that the Defense Department had begun the process of dismantling the ban and that transgender people would be able to openly serve in the U.S. military by 27 May 2016.
[71] The following day, General Joseph Dunford, Chairman of the Joint Chiefs of Staff, stated that openly transgender people will continue to be allowed to serve until Trump provides direction to James Mattis, the Secretary of Defense.
[72] The Palm Center released, on 1 August 2017, a letter signed by 56 retired generals and admirals opposing the proposed ban on transgender military service members.
[21][22] In November 2017, the Defense Health Agency for the first time approved payment for sex reassignment surgery for an active-duty US military service member.
[89] On 12 March 2019, acting Deputy Defense Secretary David Norquist signed a directive to allow Trump's policy to take effect in 30 days.
[91] Although Biden had originally said that reversing the ban would be an action taken "on day one", this had been unable to happen due to the fact that his nominee for Secretary of Defense, Lloyd Austin, had still not been confirmed yet.
On 25 January 2021, President Biden signed an executive order to reverse the ban, allowing most transgender individuals to serve in the United States military.
[5] The order immediately revoked both The Presidential Memorandum of 23 March 2018 (Military Service by Transgender Individuals) and the Presidential Memorandum of 25 August 2017 (Military Service by Transgender Individuals), and also requires the Secretary of Defense and the Secretary of Homeland Security, with respect to the Coast Guard, holds consultation with the Joint Chiefs of Staff to determine how to best implement a full reversal.
[5] On 30 April 2021, the Pentagon enacted a new policy which called for better medical service access and gender marker assistance to transgender people in the United States military.