7 steps for transgender people preparing for federal crackdowns under Trump

In the wake of Donald Trump’s election as president, transgender people are left wondering what lies ahead. For this vulnerable community, a Trump administration signals potential disaster: the candidate just won his election after $215 million in anti-trans ads targeting this small minority—a staggering amount that eclipsed spending on other issue-based ads. Now, transgender individuals are searching for ways to protect themselves under a federal government that may view them as top “enemies from within,” a term Trump has used to describe those on the left.

I spoke with experts in transgender care and dozens of transgender individuals to identify steps the community can take now to prepare for a Trump presidency. Trump has pledged numerous actions against transgender people, from investigating educators to banning gender-affirming care for youth and ending legal recognition for transgender individuals. While some of these measures may take time to implement, others could happen swiftly. For instance, the upcoming December budget negotiations are likely to include anti-trans and anti-LGBTQ+ amendments, which Democrats may accept to avoid a government shutdown.

For transgender people and their supporters, being prepared is essential. Here are practical steps the community should consider in the coming weeks to safeguard themselves against these anticipated challenges.

Obtaining or updating your passport.

Obtaining a federal passport is a crucial step for transgender individuals, as it serves as a valid ID in most places and is necessary for international travel. Passports also let you change your gender marker via a simple selection checkbox, making the process of having your official gender marker hassle-free. This last point is especially important—anticipated federal crackdowns could soon make it impossible to update your gender marker on federal documents and might even affect state IDs. Passports are valid for ten years, and some states allow you to align your gender marker with the one on your passport, making this action essential, even if you don’t plan to travel internationally. And should the need for travel arise, you’ll be grateful you took this precaution.

Many transgender people I’ve spoken to have already begun this process. One family, hoping to secure a passport before federal rules change, opted for the expedited service. Ellie, the mother of a transgender teen, shared, “I’m determined to keep my son safe and alive, and we will do everything humanly possible to make that happen.” She noted that they are researching options for moving internationally if gender-affirming care is banned federally, with Spain as their top choice. For transgender individuals, expedited passports are an important consideration to ensure they receive their documents before Trump’s inauguration. Although they cost a bit more, expedited passports are processed much faster.

Some observed a rise in the number of LGBTQ+ people seeking passports in the election’s immediate aftermath. Andromeda, a transgender woman, noted, “At the post office, there were five people in line for passports. Four of us were trans.” She described the atmosphere as “very sullen,” adding, “We were all very nervous but being very strong about it.”

Updating state documents and IDs.

This step is crucial, as transgender people will need as many documents as possible that reflect their correct gender marker to navigate potential laws and regulations targeting them. Although most anti-trans laws specify that legal recognition of sex must align with the sex recorded at or near birth, enforcing these provisions is often challenging. In practice, having licenses and IDs that display an accurate gender marker can help transgender individuals avoid negative interactions and even defuse tense situations with officials. Additionally, obtaining such documentation may become more difficult in the future—Trump could, for instance, leverage laws like the Real ID Act to push for bans on correct gender markers on driver’s licenses.

Many transgender individuals have started this process quickly, anticipating that their opportunity to do so may soon disappear. One such person in South Dakota, Cole, shared, “I need to get my name and marker officially changed before I am barred from the chance.” In South Dakota, the process is particularly onerous, requiring a court order or a signed affidavit from a physician. Cole is concerned that completing it may become impossible once Trump takes office.

Maintaining a supply of medication.

Some individuals are taking steps to secure their access to gender-affirming medications, though this approach carries potential legal challenges. The Trump administration has indicated plans to sue pharmaceutical companies providing gender-affirming care, making medication access disruption a real possibility. Additionally, federal funding bans, threats, and investigations could further complicate access. States like California have announced intentions to enact laws protecting LGBTQ+ individuals from such federal actions. For individuals, practical methods to maintain a medication supply include underdosing to build an emergency reserve, working with a physician willing to prescribe extra medication, or obtaining hormones through online sources, though it is important to note that these steps are not without legal or personal risks.

Nevertheless, many individuals reported taking these precautionary steps. One person, who asked to remain anonymous, shared that her doctor advised her she could continue using estradiol vials beyond four injections, contrary to prior instructions to discard them after four uses. This adjustment has allowed her to build up a supply that could last through a Trump presidency. Another respondent mentioned underdosing her estradiol to justify higher prescription doses, enabling her to maintain a backup supply in case of disruptions.

Changing your social security office gender marker.

This is a step many people overlook, as they may not realize that the Social Security Administration maintains a gender marker on file. If future policies restrict the ability to update identification documents, updating your gender marker with Social Security could help prevent mismatches that might flag your identification within federal systems. The process is straightforward, with an online portal explaining which form to complete and where to submit it. Most people will need to bring the form to their local Social Security office. Fortunately, changing one’s gender marker is as simple as checking a box—no court orders or medical documentation required—making it a relatively quick step to complete.

Consider moving now, if you want to.

For many, relocating is a significant and complex decision—and it’s important to acknowledge that moving isn’t a viable option for a large portion of the queer community. Financial limitations, legal or personal circumstances, and a desire to stay and fight all keep many people rooted in their home states. However, for those considering a move, this may be an opportune moment to finalize those plans. Anti-trans legislation and actions could escalate quickly, potentially even before Biden’s presidency concludes, especially with looming budget negotiations. While the exact scope of potential executive actions remains uncertain, many of the steps outlined here may become far more challenging once such actions are in place.

Many people I’ve spoken with have already decided to move. Sarah, a mother of a trans child from Texas, shared that she plans to relocate to Denver as soon as her house sells. “We’ve discussed moving for several years, and this is the push we needed, I guess,” she said. When asked why she chose Colorado, she explained, “We’re hopeful that, in a blue state with shield laws, there will be some resistance to any national policies. For instance, when Biden made the Title IX changes, Texas fought back, so we didn’t get those protections. I’m hoping it would be like that, but in reverse. It’s also why we’ll rent instead of buying—if another move is necessary, we want to be able to pick up quickly and go.”

Another individual, Tawj, mentioned that they’ve already formed a small caravan of queer people saving and preparing to move to a blue state before the transfer of power. “It’s a small group of five for now… we’re all pooling money to make the move cheaper.”

For Chelsey, a transgender girl who is planning on moving next year, she spoke of her Grandmother’s experiences in Nazi Germany as a major influencing factor, stating, “My grandmother fled Germany and she saw her sister get shot by the Nazis. The stories that I remember from her were, we were never prepared to flee. We got complacent and even with organizing which is good and important. It’s also important to be prepared to flee.”

To determine which state is safe to move to, watch for updates to my Trans Legislative Risk Assessment Map.

Make decisions around staying or going “stealth.”

A recurring topic in discussions about preparing for a Trump administration is the role that going or staying “stealth” may play in ensuring safety. For transgender individuals, “stealth” refers to living in one’s gender identity without disclosing that one is transgender. For many, this involves extra attention to makeup and voice training to pass as cisgender and blend in. For transgender youth, it often means not informing school officials about their gender identity. Such steps may become critical, as schools could feel pressured by the Trump administration to enforce restrictions on trans youth, even in blue states. For trans adults, staying stealth could also offer a measure of safety in the face of increasingly common bathroom regulations.

Many transgender people I spoke with had mixed feelings about going “stealth” under a Trump administration. Some have concluded that it’s the safest option for them, while others have chosen to remain visible, believing that visibility will be essential in the fight for transgender rights. Still others feel that stealth simply isn’t an option for them.

Relying on local community allies.

One essential action transgender people and allies can take is to support community organizations, legal funds, and other resources. Historically, when restrictive laws have targeted the LGBTQ+ community, it has been crucial to connect with groups of LGBTQ+ individuals who can provide mutual support and safety. When choosing organizations to support, state and local groups are particularly valuable, as they offer the most current information on relevant laws and can advise on the best ways to address new challenges under a Trump administration. These organizations are also well-positioned to navigate the specific legal processes and advocacy opportunities within local communities.

The Trump administration is expected to bring significant legal threats for transgender people, but there are steps that can be taken now to mitigate these risks. With a closing window to act before Trump’s inauguration, these measures are time-sensitive. Early preparation may be the difference between enduring four years of intensified crackdowns on trans and queer communities—or facing the brunt of an administration determined to restrict their rights. Taking steps now is essential for those looking to safeguard their futures.