Yesterday I started looking into trans acceptance and understanding in china. I came across articles about Jin Xing, china first trans clinic for minors (opened in 2021), China's laws regarding obtaining HRT or GRS (mostly western sources), searched Bilibili and Baidu (videos) using the terms 同志, 變性 and 跨性别 combing through the comments. Finally looking through the stories of trans people who visited or worked in china.
I was surprised to find lots of roadblocks for trans people attempting to get HRT, GRS, change there paperwork etc. For example if you want to obtain HRT in china as a trans women you must notify your family, get written acceptance, prove you have no criminal record and undergo psychological treatment. This leads to a lot of trans people getting HRT online. However as of 2022 estradiol and cyproterone where added to a list making it illegal to obtain online.
The comment sections of videos on the topic are pretty bad id say similar to transphobic comments left in videos in America. The stories of non passing trans people who traveled to china getting mocked, belittled or in some cases having the police called on them. All of this shocked me and due to the language barrier I attempted to look past some of the comments or dismiss some of the horror stories.
It appears to me that china is severely behind on Trans acceptance and that's why I'd like to open this up as a discussion on the matter as I am only one person who understands little mandarin or other Chinese dialects and would greatly appreciate any information on the matter.
Is there an urban/rural divide as well as a generational one?
Yes.
LGBTQ+ people tend to try to start lives in the cities, where prevailing attitudes are more progressive, where there's a LGBTQ community and where there's better surveilance (which means more safety). You also improve your chances of getting signed off on sex reassignment or gender affirming surgeries if you're trans living in the cities, because the mental health impact of the social fallout from how your community will receive your change is a far smaller concern or eliminated entirely, and your family is less worried about getting stigmatized by their community (which is something that will affect them whether they support you or not) if nobody actually knows because you live far away and never visit home.