In 2004, the National Coalition for LGBT Health named the top trans health priorities:
- Violence and murder prevention
- HIV/AIDS and other STD prevention and treatment
- Substance abuse prevention and treatment
- Depression, suicidal ideation and suicide prevention
- Lack of health insurance and underinsurance
- Lack of health insurance coverage for trans health services
- “Gender identity disorder” (GID) as the principal diagnostic means determining access to trans health services
- Lack of FDA approval for transgender hormonal therapy
- Widespread injection silicone use, especially among transwomen of color
- The continuing misclassification of sex reassignment surgery as “experimental” by the Centers for Medicare and Medicaid (CMS)
- Lack of training in U.S. medical schools for trans health service delivery and working with transgender patients
- Medical, mental health and substance abuse treatment provider insensitivity and hostility to transgender people
- Tobacco use
They noted the report does not include intersex issues.
Source: An Overview of U.S. Trans Health Priorities (2004)