# Anti-transgender movement in the United Kingdom

The early 21st century has seen a rise in and increasing organisation around anti-transgender sentiments in the United Kingdom. The most common strain is that of gender-critical feminism, although these views are not confined to any specific political alignment. This development has caused some to refer to the United Kingdom by the nickname "TERF Island" and has led to substantial rollbacks in the rights of transgender people, including in the areas of gender self-identification, access to gender-affirming care, education, sports, the justice system, and access to social services.

## Background
### Gender Recognition Act 2004

In 1970, a judge ruled that transgender individuals in the United Kingdom could not change the sex recorded on their birth certificates. Following legal advocacy by trans rights organisations, the European Court of Human Rights issued a ruling that the UK government's policy was in breach of human rights. This led to the implementation of the Gender Recognition Act 2004 (GRA). The GRA allowed trans individuals to change their legal sex if they obtained a medical diagnosis of gender dysphoria and had lived for two years in their "acquired" gender.
In June 2020, the European Commission said these medical requirements were "intrusive" and inconsistent with international human rights standards. In 2021, the Parliamentary Women and Equalities Committee and the United Nations Independent Expert on sexual orientation and gender identity also called for the adoption of gender self-identification to be the policy.

### Gender-critical feminism

Gender-critical feminism, also known as trans-exclusionary radical feminism or TERFism, is an ideology or movement that opposes what it refers to as "gender ideology", the concept of gender identity and transgender rights, particularly gender self-identification. Gender-critical feminists believe that sex is determined by biology and immutable, and believe gender, including both gender identity and gender roles, is inherently oppressive. They reject the concept of transgender identities, and have formed alliances with right-wing, far-right, and anti-feminist organisations that have campaigned for the rollback of trans rights and restrictions on transgender health care. British gender critical groups have allied with the Christian right and alt-right in the United States, in particular.
Feminist and scholarly critics have described gender-critical feminism as transphobic, and it is opposed by numerous feminist, LGBTQ rights, and human rights organisations. The Council of Europe has condemned gender-critical ideology, along with other ideologies it says are linked to "virulent attacks on the rights of LGBTI people" in countries such as Hungary, Poland, Russia, Turkey, and the United Kingdom. UN Women has categorised the gender-critical movement as one of several extreme anti-rights movements that utilise hate propaganda and disinformation.

## Organisations founded

Starting in the 2010s, numerous small but influential anti-trans organisations were founded. Advocacy groups opposing trans rights often overemphasise their support for trans individuals.

### In opposition to proposed changes to Gender Recognition Act

In 2016, the House of Commons' Women and Equalities Committee issued a report recommending that the Gender Recognition Act 2004 be updated "in line with the principles of gender self-declaration". Later in 2016, in England and Wales, the government of Prime Minister Theresa May proposed revising the Act to allow for self-identification, with a public consultation on the reforms launched in 2018. A majority of respondents expressed support for the proposed reforms. In Scotland, ahead of the 2016 Scottish Parliament election, Nicola Sturgeon, the First Minister of Scotland, pledged to review and reform the way that trans people could change their legal gender. Sturgeon's government held two consultations on how to reform the Gender Recognition Act, one in 2018 and one in 2019.
The 2016 report by the Women and Equalities Committee caused advocacy groups such as Woman's Place UK and Fair Play for Women to form in opposition to the proposals. In Scotland, similar groups such as Women and Girls in Scotland, For Women Scotland and Women's Spaces formed during this period. These groups began to campaign on social media, saying the reforms would degrade or damage women's rights. Groups of gender critical people also gathered within political parties, including Labour Women's Declaration, Liberal Voice for Women and SNP Women's Pledge. In 2019, Women's Declaration International (initially formed as the Women's Human Rights Campaign) was co-founded by gender-critical feminist Sheila Jeffreys and Heather Brunskell-Evans to respond to the inquiry into the Gender Recognition Act. The organisation published the Declaration on Women's Sex-Based Rights, which said that recognising trans women as women "constitutes discrimination against women" and called for the "elimination" of gender recognition laws. Organisations that supported the Women's Human Rights Campaign include LGB Alliance, Transgender Trend, Labour Women's Declaration, WoLF (Women's Liberation Front), Standing for Women, Safe Schools Alliance UK, OBJECT (which wants to make gender-affirming healthcare illegal for anyone under the age of 25) and For Women Scotland.
Opposition to trans rights and related policies has also been by supported by other groups, as efforts to restrict transgender rights have arisen across the political spectrum. Groups that oppose changes to the Gender Recognition Act reject that they are "anti-trans or transphobic", and say they are defending the rights of women and children.

### In opposition to Stonewall pivot to transgender issues

The stance of LGBTQ rights charity Stonewall on transgender issues also became a point of contention for the gender-critical movement. In 2015, Stonewall began actively campaigning for transgender equality, with its then-leader Ruth Hunt issuing an apology for the organisation's prior lack of advocacy on trans issues. In 2019, the LGB Alliance was established in opposition to Stonewall's support for trans rights. It said Stonewall was "undermining women's sex-based rights and protections" and "introducing confusion between biological sex and the notion of gender". Sociologist Craig McLean describes the LGB Alliance as part of the "anti-transgender movement in the United Kingdom". The LGB Alliance has said it is "not anti-trans".

### In opposition to gender-affirming care for young people

The Bayswater Support Group was founded in 2019. Embedded within the wider gender-critical movement, it serves as a support group for parents skeptical about their children's trans identities and has influenced policies that have rolled back trans rights. In 2021, Genspect was founded with close ties to the American lobby group The Society for Evidence-Based Gender Medicine. Both organisations have been designated as anti-LGBTQ hate groups by the Southern Poverty Law Center. Their activities have focused primarily on lobbying within politics and the medical field against access to gender-affirming care. Genspect also opposes social and medical transition for transgender people.

## Media coverage

Since the late 2010s, British media outlets across the political spectrum have published articles that frame transgender rights as directly conflicting with the rights of women and children. According to political economist Lisa Tilley of the University of London, the British media created an environment where "male violence is also displaced from the real culprits onto vulnerable transgender people, who are demonized collectively as abusers, rather than more accurately represented as victims and survivors of abuse".
In an article for CNN, transgender activist Christine Burns said that The Times and The Sunday Times newspapers published six trans-related articles in 2016, over 150 in 2017, and similarly high numbers in subsequent years, portraying trans rights as dangerous and censorious. Other media outlets, including Sky News, The Guardian, and the BBC, also contributed to this trend. In December 2020, the Independent Press Standards Organisation reported a 414% increase in the average number of UK media stories about trans rights, rising from 34 per month in May 2014 to 176 per month in May 2019, with an additional rise to 224 stories per month in the year prior to the report. According to the report, language had become more "respectful" over this period, although coverage of debate on Gender Recognition Act reform had become "heated" and "strident".
Trans activists have accused the British media of "stoking anti-trans sentiments". A prominent example was a 2021 BBC article titled "We're being pressured into sex by some trans women", which cited a social media poll from an anti-trans activist group to claim that cisgender lesbians were being coerced into sexual activity with transgender women under threat of being labeled transphobic. The article included statements from the LGB Alliance and an individual who, shortly after the article's publication, called for the execution of all trans women. No statements from trans individuals were included in the article.

## Policy changes

Changes in policy regarding trans rights and associated views have covered a vast range of topics.

### Legal status of gender-critical beliefs

In 2021, Forstater v Centre for Global Development Europe established that gender-critical beliefs are protected under discrimination laws, but that this explicitly did not permit holders of these beliefs to discriminate against transgender individuals. The case arose when Maya Forstater sued her employer, the Centre for Global Development Europe, after her contract was not renewed after she expressed gender-critical beliefs. In April 2021, the British Equality and Human Rights Commission (EHRC) submitted evidence supporting Forstater in the case. The EHRC said: "We think that a 'gender critical' belief that 'trans women are men and trans men are women' is a philosophical belief which is protected under the Equality Act."

### Gender recognition

In the late 2010s, several groups were formed in response to the proposed reforms to the Gender Recognition Act, including Fair Play for Women, For Women Scotland, and Woman's Place UK. In January 2022, the Equality and Human Rights Commission (EHRC) issued statements opposing the removal of administrative barriers for transgender people to obtain legal recognition in Scotland and recommending that the ban on conversion therapy in England and Wales exclude therapies aimed at transgender individuals.
In February 2022, Vice News reported on leaked sections of an unpublished 2021 EHRC guidance document advising businesses and organizations to exclude transgender individuals from single-sex spaces—such as toilets, hospital wards, and changing rooms—unless they possessed a Gender Recognition Certificate (GRC). According to the report, the guidance, intended for release in January 2022 but unpublished as of February, was framed as protecting women. It also noted that 1% of transgender people in the UK held a GRC.
In June 2022, the EHRC stated that transgender people could be excluded from single-sex spaces as long as it serves a legitimate aim, such as "privacy, decency, to prevent trauma or to ensure health and safety". In July 2024, the EHRC issued further guidance clarifying that sex-based occupational requirements included sex as defined by a GRC but that, under Schedule 9 of the Equality Act 2010, employers were allowed to exclude transgender individuals, including those with a GRC, from roles with sex-based occupational restrictions. The guidance emphasised that the basis and justification for any such restrictions must be clearly stated in job advertisements.

### Healthcare restrictions
#### Bell v Tavistock

In 2020, the High Court ruled in a case championed by a number of anti-trans groups and figures that transgender patients under the age of 16 could not receive puberty blockers to prevent the development of unwanted secondary sex characteristics. This decision led to the withdrawal of care for many patients, resulting in some undergoing the puberty of their assigned gender at birth. Additionally, many patients over the age of 16 had their gender-related healthcare withdrawn, even when it did not involve puberty blockers. In late 2021, the ruling was overturned on appeal, allowing puberty-suppressing treatment to resume.

#### Cass Review

In April 2024, the Cass Review into NHS England's youth gender services published its final report. The review's recommendations were largely welcomed by the British medical community. However, numerous international academics and medical organisations criticised the review's methodology and findings. The World Professional Association for Transgender Health criticised the review's methodology and evidence base, stating that it "deprives young trans and gender diverse people of the high-quality care they deserve".
The review received widespread support from UK politicians and political parties, as well as gender-critical groups such as Sex Matters, Transgender Trend, and Woman's Place UK. Julie Bindel said the review "vindicated" people with gender critical views. The review's findings led to bans on the use of puberty blockers for transgender children, both within the NHS and in private healthcare. Wes Streeting, Hilary Cass, and the Commission on Human Medicines said a lack of evidence and concerns over safety were the reasons for the ban. This position was disputed by several international medical organisations, including the American Academy of Pediatrics, the Canadian Paediatric Society, the Endocrine Society, and the Japanese Society of Psychiatry and Neurology. Many GPs also began withdrawing hormone treatment from adult trans patients, citing the Cass Review - despite the review only applying to youth services.

### Conversion therapy

In 2015, health organizations across the UK signed the Memorandum of Understanding on Conversion Therapy (MoU), a statement opposing conversion therapy for lesbian, gay, and bisexual individuals. In 2017, the MoU was updated to include opposition to conversion therapy for transgender individuals. In 2022, the Conservative government under Boris Johnson reversed plans to include conversion therapy targeting gender identity in a proposed ban on the practice. This decision followed lobbying by gender-critical groups and drew condemnation from the coalition behind the MoU, which published an open letter criticising the government's decision. In response to the backlash, the government cancelled its first LGBTQ conference after members withdrew in protest. The gender-critical group Transgender Trend criticised the coalition's letter, referencing the interim findings of the Cass Review.
The Cass Review's interim report said that affirmative approaches were not neutral, and that some professionals were scared to take "an exploratory approach or challenging approach" due to perceived pressures from organisations taking an "ideological stance". It suggested there was "a fear of being labelled transphobic" if professionals tried to explore or investigate the causes of gender non-conformity in children. In 2024, Hilary Cass, who chaired the review, told Kemi Badenoch that the proposed conversion therapy ban was risky and told The Guardian that she'd been "really clear with the government that any legislation would have to take inordinate care to not make workforce problems worse than they are".
In 2022, the World Professional Association for Transgender Health (WPATH) and regional transgender health bodies released a statement in response to NHS England's interim service specifications, which followed the Cass Review's interim report. The statement said:
   This document seems to view gender incongruence largely as a mental health disorder or a state of confusion and withholds gender-affirming treatments on this basis. WPATH, ASIAPATH, EPATH, PATHA, and USPATH call attention to the fact that this "psychotherapeutic" approach, which was used for decades before being superseded by evidence-based gender-affirming care, has not been shown to be effective (AUSPATH, 2021; Coleman et al., 2022). Indeed, the denial of gender-affirming treatment under the guise of "exploratory therapy" has caused enormous harm to the transgender and gender diverse community and is tantamount to "conversion" or "reparative" therapy under another name.
The Professional Association for Transgender Health Aotearoa (PATHA), a New Zealand professional organisation, said the Cass Review made "harmful recommendations" and was not in line with international consensus. It said: "Restricting access to social transition is restricting gender expression, a natural part of human diversity." PATHA further said that several people involved in the review "previously advocated for bans on gender-affirming care in the United States, and have promoted non-affirming 'gender exploratory therapy', which is considered a conversion practice".
In November 2023, the UK Council for Psychotherapy (UKCP) issued a statement on gender-critical views, asserting that practitioners holding such views might favor conversion therapy over gender-affirming care, particularly for children and young adults with gender dysphoria. In April 2024, the UKCP withdrew from the MoU and the Coalition Against Conversion Therapy, saying it did not want to oppose conversion therapy for young trans people. This decision was criticised by other MoU signatories and over 1,500 UKCP members.

### Education

In December 2021, the Girls' Day School Trust, the largest network of girls' private schools in the UK, issued a blanket ban on trans girls being admitted to any of its schools. In August 2022, Attorney-General Suella Braverman stated that it is lawful for schools to misgender, deadname, and exclude transgender students from certain sports; to deny enrolment based on their transgender status; and to refuse any form of gender affirmation. She further said that recognising transgender identities could be considered "indoctrinating children".

### Sports

Restrictions on sports participation have been a significant focus of the anti-trans movement in the UK. In September 2021, the UK Sports Council Equality Group issued guidance asserting that, in their view, transgender inclusion and "competitive fairness" cannot coexist in sports. The SCEG based its guidance on 300 interviews regarding personal opinions on the matter, conducted across 54 sports and 175 organisations. 20 of those interviewed were trans people.
In June 2022, Nadine Dorries, the UK Secretary of State for Digital, Culture, Media and Sport at the time, met with the heads of UK sporting bodies and stated that "elite and competitive women's sport must be reserved for people born of the female sex". Since then, transgender women have been banned from competing in women's sports across various disciplines, including cycling and fishing.

### Rape law

Under 2024 guidance published by the Crown Prosecution Service, trans people who fail to disclose their birth sex to a sexual partner, whether deliberately or not, can be charged with rape.

### Prisons

As of 2023, trans women imprisoned in England and Wales are to be housed in men's prisons if they have committed any violent or sexual crime, or if they have "male genitalia". In late 2023, it was announced that trans women in Scotland would be sent to a men's prison only if they were convicted of or awaiting trial for a crime against a woman, and were considered to be a risk to women and girls.

## International responses

In 2021, the Council of Europe's Committee on Equality and Non-Discrimination issued a warning regarding the United Kingdom, stating that:
   ongoing social, political and legal debate [in the United Kingdom (UK)] about what constitutes harmful discourse when it comes to trans people and their rights, and arguments defending freedom of expression have been – and are still being – used as a tool to justify transphobic rhetoric, further penalising and harming already marginalised trans people and communities.
The committee concluded that the "'gender-critical' movement, which wrongly portrays trans rights as posing a particular threat to cisgender women and girls, has played a significant role in this process".
In May 2023, a United Nations investigation found that the British Equality and Human Rights Commission had intentionally acted to reduce human rights protections for transgender individuals with legal gender recognition, and that rhetoric by both the British media and politicians had created a climate of hostility against trans people in the UK.

## Analysis

In 2021, sociologist Craig McLean of Northumbria University said the British anti-trans movement has been shaped by the influence of lobby groups that "have used their influence in the media to push with impunity a narrative that transwomen are not safe and should not be allowed to use female facilities. They have pushed a narrative of 'raising reasonable concerns' and just 'asking questions', but the reality is that they have helped to demonize an already vulnerable minority." In 2022, sociologist Sone Erikainen of the University of Aberdeen expressed a similar perspective, stating that "though they are indeed a small minority, their views and arguments are being platformed by many outlets just as much and sometimes more than the views of trans-affirming feminists and trans activists, and their arguments have also carried a lot of impact on policy decisions".