South Dakota was the only state to see a drop in the number of residents believing they were a different gender to that they were born with, a condition called “gender dysphoria,” according to a 2024 report from Atlas All-Payor Claims Dataset. Virginia, Indiana, Alaska and Utah saw the highest increase in diagnoses of gender dysphoria, ranging from around 183% to 274% growth. Many of those seeking to undergo irreversible surgeries on their genitals, receive hormone therapies or other types of so-called “gender care” are under the age of 18. Young people make up around 18% of Americans, up from 10% in 2016, the report noted.