Greenland Autonomous Territory within the Kingdom of Denmark. Registered partnerships between and Existing partnerships are still recognised. Stepchild adoption since ; [] joint adoption since []. The Kingdom of Denmark responsible for defence. Legal gender change and recognition possible without surgery or hormone therapy [] []. Saint Pierre and Miquelon Overseas collectivity of France. Civil solidarity pact since []. Under French law []. United States. Domestic partnerships in California , [] the District of Columbia , [] Maine , [] Oregon , [] Maryland , [] and Nevada ; [] Civil unions in New Jersey , [] Illinois , [] Hawaii , [] and Colorado [].
Legal in some states since , nationwide since []. Clayton County, Georgia. Pathologization or attempted treatment of sexual orientation with minors by mental health professionals illegal in some states and territories. Included in the federal hate crime law since Discrimination in public accommodations illegal in some cities, counties, states, and territories. Gender identity discrimination in healthcare insurance banned since Bans all anti-gay discrimination [] [] [].
Costa Rica. Unregistered cohabitation since [] []. Legal since May Legal since May []. Has no military.
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Bans all anti-gay discrimination [49]. Transgender persons can change their legal gender without surgeries or judicial permission since []. El Salvador. Constitutional ban on de facto unions since Constitutional ban since ; [] [] court decision pending. Court decision pending. Bans some anti-gay discrimination [] []. Transgender persons can change their legal gender and name after completion of medical intervention since [] [].
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Anguilla Overseas Territory of the United Kingdom. Antigua and Barbuda. Illegal Penalty: year prison sentence Not enforced. Aruba Constituent country of the Kingdom of the Netherlands.
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Registered partnerships since []. The Netherlands responsible for defence. Illegal Penalty: Life imprisonment Not enforced. Bans some anti-gay discrimination []. Bonaire a special municipality of the Netherlands. Civil Partnerships since []. Transgender people allowed to change gender after sex change operations []. Illegal Penalty: year prison sentence or incarceration in a psychiatric institution Not enforced. Dominican Republic. Male illegal Penalty: year prison sentence Rarely enforced. Guadeloupe Overseas department of France.
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Legal since as Saint-Domingue [49]. Legalization proposed Female always legal. Martinique Overseas department of France. Montserrat Overseas Territory of the United Kingdom. Constitutional ban since []. Puerto Rico Commonwealth of the United States. United States responsible for defense [] []. Gender change legal since ; does not require surgery.
Saba a special municipality of the Netherlands. Saint Kitts and Nevis. Male illegal Penalty: 10 years Not enforced. Female always legal [49]. Saint Lucia. Legalization proposed Female always legal [49]. Saint Martin Overseas collectivity of France. Saint Vincent and the Grenadines. Sint Eustatius a special municipality of the Netherlands.
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Sint Maarten Constituent country of the Kingdom of the Netherlands. Trinidad and Tobago. Since []. Pathologization or attempted treatment of sexual orientation by mental health professionals illegal since Transgender persons can change their legal gender and name without surgeries or judicial order since [].
Constitutional ban on free unions since ; [] Family life agreement pending [].
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LGBT individuals may adopt, but not same-sex couples []. Since [] [] [] ; Includes transgender people []. Transgender persons can change their legal gender and name without surgeries or judicial order since [] [] [] []. Legal in some states since , nationwide since [] []. Transgender people can change their legal gender and name before a notary without the need of surgeries or judicial order since [] [] [].
Civil unions since []. Pending []. Transgender persons can change their legal gender and name since No surgeries or judicial order since De facto marital union since []. Since [49]. Since , transgender persons can change their legal gender and name manifesting their solemn will before a notar, no surgeries or judicial order required []. De facto unions since [] []. Since , transgender persons are allowed to change their birth name and gender identity; no surgeries or judicial order required [] [] []. Civil partnerships since []. French Guiana Overseas department of France.
Illegal Penalty: Up to life imprisonment Not enforced. Proposed []. Bans all anti-gay discrimination [] [] [] [] []. Transgender persons can change their legal gender and name without the need for the completion of medical intervention since Judicial order required. Legal since as Dutch Guiana ; Age of consent discrepancy. Court decision pending [] [].
Concubinage union since [].
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Transgender persons can change their legal gender and name without surgeries or judicial order required since Constitutional ban on de facto unions since ; Proposed. Constitutional ban since ; court decision pending []. Illegal Penalty: Long imprisonment or death penalty No known cases of death sentences have been handed out for same-sex sexual activity after the end of Taliban rule. Requires sex reassignment surgery [] [].