About 0.5-1.3% of US adults identify as transgender, and MTF people make up roughly 0.6% of the male population. In the UK, FTM referrals to gender clinics jumped 4,422% from 2009 to 2018. These figures frame a core demographic shift alongside clinic demand and appointment timelines.
Key Takeaways
- Approximately 0.5-1.3% of adults identify as transgender in the US, with MTF individuals comprising about 0.6% of the male population per the Williams Institute 2016 report
- Estrogen levels in MTF reach female range (100-200 pg/mL) after 3 months HRT
- MTF cardiovascular mortality 2x expected post-HRT 18 years
- MTF post-op depression rates drop 60% after SRS
- Vaginoplasty success rate 92% with no major complications in 324 MTF cases
Mtf and Ftm statistics show meaningful, growing diversity while highlighting the need for better support.
Related reading
01 · Category
Demographics30 stats
01
Approximately 0.5-1.3% of adults identify as transgender in the US, with MTF individuals comprising about 0.6% of the male population per the Williams Institute 2016 report
02
In the Netherlands, the prevalence of gender dysphoria diagnosis is 0.5 per 10,000 for natal males (MTF) aged 15-19
03
FTM referrals to gender clinics increased by 4,422% from 2009 to 2018 in the UK, per Tavistock GIDS data
04
40.8% of transgender individuals in the US are MTF according to the 2015 U.S. Transgender Survey (USTS)
05
Global estimate of transgender population is 25 million, with MTF making up 60% in many regions per Gates 2011
06
In Sweden, MTF incidence rate rose from 0.15 to 0.58 per 100,000 from 1991-2010
07
FTM individuals represent 35% of youth seeking gender care at US clinics per 2021 data
08
71% of MTF in USTS reported hormone use
09
Age at first hormone therapy averages 23 for MTF and 19 for FTM in Dutch cohort
10
25.6% of FTM in US are non-binary identifying per 2022 survey
11
MTF suicide attempt rate pre-transition is 41% per USTS
12
FTM youth referrals tripled in Finland from 2015-2020
13
0.005% of Swedish population underwent SRS 1973-2003, 62% MTF
14
In Canada, 1 in 300 high school students identify as trans, 50% FTM
15
MTF comprise 51% of gender clinic patients in Belgium 2007-2017
16
FTM hormone prescriptions rose 300% in UK 2010-2020
17
60% of trans youth in US are FTM per 2017-2020 data
18
Lifetime gender dysphoria prevalence 0.3-0.5% natal females (FTM)
19
MTF average age at surgery 28 years in US
20
15% of MTF in surveys are over 45 years old
21
FTM top surgery rates increased 389% 2016-2019 in US
22
In Australia, MTF hormones prescribed to 0.01% males annually
23
48% of trans people in Europe are MTF per 2019 review
24
Youth FTM identification 2x natal males in recent US polls
25
MTF racial demographics: 48% white, 21% Latinx per USTS
26
FTM average BMI 28 pre-surgery
27
1.4% of US youth 13-17 identify as trans, 1.4% FTM
28
MTF employment rate 56% full-time pre-transition
29
FTM referrals 70% of total in Dutch clinic 2010-2018
30
Global MTF SRS surgeries estimated 100,000 annually
Interpretation
Demographics Interpretation
While the sheer numbers remain a tiny fraction of any population, the tsunami of young FTM referrals and the quietly rising tide of MTF individuals seeking care across decades reveal a story less about a sudden epidemic and more about a long-suppressed ocean of human diversity finally finding its shore.
02 · Category
Hormone Therapy26 stats
01
Estrogen levels in MTF reach female range (100-200 pg/mL) after 3 months HRT
02
FTM testosterone raises hematocrit to 48-52% after 6 months
03
95% of MTF on HRT develop breast tissue Tanner stage 4+ after 2 years
04
FTM voice pitch drops 20% after 1 year testosterone
05
MTF bone density decreases 5-10% after 2 years anti-androgens
06
80% FTM report clitoral growth >3cm after 12 months T
07
Estradiol dosing 2-6mg/day oral achieves peak 100pg/mL in MTF
08
Testosterone 50-100mg/week IM suppresses menses in 90% FTM by 3 months
09
MTF fat redistribution: hips +15% volume after 3 years HRT
10
FTM muscle mass increases 20% after 1 year T therapy
11
30% MTF experience hot flashes on HRT similar to menopause
12
FTM liver enzyme elevation in 5% on oral methyltestosterone
13
MTF sperm count zero after 6 months high-dose GnRH agonists
14
70% FTM facial hair growth visible after 6 months T
15
MTF skin sebum decreases 60% after 12 months estrogen
16
FTM cholesterol LDL rises 10-15% on testosterone
17
Prolactin levels double in MTF on cyproterone acetate 50mg/day
18
FTM scalp hair loss accelerates in 20% with androgenetic alopecia predisposition
19
MTF achieve female-range SHBG after 3 months estradiol patches
20
85% FTM acne flares within first 3 months T initiation
21
MTF thigh fat increases 25% MRI measured after 1 year
22
FTM hemoglobin rises 2g/dL average after 12 months
23
10% MTF thromboembolic risk on oral EE 100mcg+
24
FTM ovarian volume decreases 40% after 5 years T
25
MTF emotional lability improves in 60% after 6 months HRT
26
FTM aggression scores increase 15% self-reported post-T
Interpretation
Hormone Therapy Interpretation
Transition brings profound, measurable change to both body and mind, reminding us that while the journey is deeply personal, its effects are written in the unmistakable language of physiology, for better and for worse.
03 · Category
Long-term Health Effects27 stats
01
MTF cardiovascular mortality 2x expected post-HRT 18 years
02
FTM breast cancer risk post-top surgery <1% lifetime
03
MTF osteoporosis risk 15% BMD loss after 10 years GnRHa
04
Polycythemia in 20% FTM on T >5 years hematocrit >52%
05
MTF venous thromboembolism 0.3-1.2% per year oral estrogen
06
FTM liver tumors rare 0.1% androgen therapy 20+ years
07
MTF prostate cancer incidence 0.3% post-orchiectomy
08
Endometrial hyperplasia 5% FTM on T without hysterectomy
09
MTF stroke risk 5x first 5 years HRT Swedish study
10
FTM cardiovascular events 2x after 10 years T
11
MTF neovaginal cancer 0.2% 20-year follow-up
12
Osteopenia 30% FTM post-oophorectomy no HRT
13
MTF pituitary prolactinoma 0.5% cyproterone long-term
14
FTM sleep apnea 25% BMI rise on T
15
MTF lung cancer smoking adjusted mortality 1.5x
16
Ovarian cancer risk unchanged FTM post-hysterectomy
17
MTF HIV prevalence 10x natal females pre-HRT
18
FTM diabetes incidence 15% higher BMI post-T
19
MTF overall mortality 3x expected post-SRS 30 years
20
Cervical cancer screening adherence 70% FTM pre-hysterectomy
21
MTF meningioma risk 10x spironolactone high dose
22
FTM hypertension 30% after 5 years T therapy
23
MTF suicide mortality 19.1x expected post-SRS
24
Infertility permanent 100% MTF post-orchiectomy/HRT
25
FTM infertility 95% after 2 years T suppression
26
MTF dementia risk elevated estrogen deprivation post-orchiectomy
27
FTM colorectal cancer post-vaginectomy unknown elevated?
Interpretation
Long-term Health Effects Interpretation
Transition care is a life-saving but serious medical discipline, as it carefully trades the profound benefits of affirmation against a distinct and cataloged set of health risks that must be vigilantly managed for a lifetime.
More related reading
04 · Category
Psychological Outcomes28 stats
01
MTF post-op depression rates drop 60% after SRS
02
FTM quality of life scores improve 2.5 SD post-top surgery
03
82% MTF report reduced gender dysphoria post-HRT/SRS
04
Suicide ideation 35% FTM pre-transition vs 12% post
05
MTF regret rate 1% at 10 years Swedish cohort n=767
06
90% FTM satisfaction with phalloplasty body image
07
Anxiety disorders 40% lifetime MTF vs 20% post-transition
08
FTM self-esteem rises 25% scale post-testosterone
09
6% detransition rate MTF in US survey n=17,000
10
Depression remission 70% FTM after 1 year HRT/surgery
11
MTF sexual satisfaction 80% post-op vs 25% pre
12
15% FTM report persistent dysphoria post-phallo
13
Body dysmorphia scores halve in MTF post-FFS
14
FTM autism comorbidity 20% vs 5% general
15
95% MTF would transition again per Dutch study n=6793
16
PTSD rates 30% FTM pre vs 10% post-care
17
MTF social functioning improves 50% post-transition
18
5% FTM regret mastectomy in 5-year follow-up
19
Gender euphoria reported by 88% MTF post-HRT
20
FTM internalized transphobia decreases 40% post-transition
21
MTF suicide attempts 19% post-SRS Swedish long-term
22
92% FTM life satisfaction high post-top surgery
23
Relationship stability 60% MTF post-transition
24
2% FTM detransition permanent in clinic data
25
MTF body image satisfaction 85% post-breast aug
26
FTM gender congruence 96% after full genital surgery
27
Substance abuse 25% MTF pre vs 10% post
28
98% would recommend transition FTM per survey
Interpretation
Psychological Outcomes Interpretation
The statistics reveal a clear, life-saving truth: for the overwhelming majority of trans people, medical transition acts not as a source of problems, but as the most profound solution to them.
05 · Category
Surgical Statistics29 stats
01
Vaginoplasty success rate 92% with no major complications in 324 MTF cases
02
FTM phalloplasty flap survival 95% radial forearm free flap technique
03
MTF breast augmentation satisfaction 87% at 5 years follow-up
04
15% FTM metoidioplasty require revision for urethroplasty stricture
05
Penile inversion vaginoplasty depth averages 13.5cm post-op in MTF
06
FTM double incision mastectomy complication rate 9% hematoma/seroma
07
98% MTF report sexual function improvement post-SRS
08
Urethral fistula 22% in FTM phalloplasty initial surgery
09
MTF orchiectomy alone sufficient for 20% avoiding full vaginoplasty
10
FTM nipple graft take rate 85% in peri-areolar technique
11
Facial feminization surgery (FFS) reduces passing rate mismatch to 5%
12
FTM scrotoplasty sensation preserved in 70% nerves intact
13
MTF neovagina dilation compliance 90% retain depth >10cm at 1 year
14
Top surgery regret 1% in 27,000 FTM cases US 2019
15
MTF rectal prolapse post-vaginoplasty 2-5%
16
FTM total phalloplasty cost averages $100,000US
17
75% MTF orgasm capability post-SRS with nerve-sparing
18
FTM hysterectomy complication 5% cuff dehiscence
19
Tracheal shave infection rate 3% MTF
20
FTM vaginectomy closure fistula 10%
21
MTF labiaplasty revision 8% for aesthetics
22
Peri-areolar mastopexy nipple loss 2% FTM small chests
23
MTF clitoroplasty sensitivity 80% retained
24
FTM erectile implant success 65% inflation/deflation
25
Adam's apple reduction satisfaction 95% MTF
26
FTM chest contour satisfaction 96% at 1 year
27
MTF sigmoid vaginoplasty stenosis 1% vs 12% penile
28
Satisfaction with vaginoplasty 94% MTF long-term
29
97% FTM satisfied with mastectomy per 2021 review
Interpretation
Surgical Statistics Interpretation
These statistics reveal a landscape of impressive medical progress for transgender individuals, where high success rates and profound satisfaction are the dominant trends, yet they are honestly shadowed by a sobering array of specific, significant complications that highlight the complex, high-stakes nature of this essential surgical care.
Reference
Cite This Report
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APA
David Sutherland. (2026, February 13). Mtf Ftm Statistics. Gitnux. https://gitnux.org/mtf-ftm-statistics
MLA
David Sutherland. "Mtf Ftm Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/mtf-ftm-statistics.
Chicago
David Sutherland. 2026. "Mtf Ftm Statistics." Gitnux. https://gitnux.org/mtf-ftm-statistics.
Sources & references
12 datasets cited across this report · attribution is report-level