I can't speak to lgb part but as far as trans and queer rights not that great, they have a long way to go. Now is it to the point where "Trans and queer people and their supporters suffer ‘systemic persecution’" for the most part no. However its not easy to get access to estradiol as you need the permission of your closest relatives to start HRT and as of recent they have made it illegal to order online.

There was a discussion about this here

I'd also like to address some of the comments here, as a trans person fighting for trans liberation watching ppl try and disregard the material conditions of trans people for whatever reason, get fucked and stop claiming being trans, gay, bisexual etc is some American concept. We have existed throughout history in every culture and we will continue to regardless of politics, borders, etc.

I took a break from this site because I was getting tired of the fucking mental gymnastics some of ya'll do to defend china when it comes to lack of trans rights or issues. No country is perfect when it comes to trans rights does not mean we shouldn't critique any country in a quest to defend our humanity and access to healthcare. Stop abandoning your comrades because liberals have cooped parts of our movement, ask a LGBTQ person how we can fight imperialism and support our LGBTQ comrades at the same time (they are not mutually exclusive)