Organization Age Group/Division Conditions1 National Wheelchair Basketball Association †United States Bobsled and Skeleton Federation †United States Canoe Association †United States Dressage Federation †United States Equestrian Federation United States Eventing Association United States Golf Association †United States Mixed Martial Arts Federation United States Ski and Snowboard Association Did not respond No transgender inclusion policy No transgender inclusion policy No transgender inclusion policy No transgender inclusion policy; non-discrimination policy includes gender and gender expression Did not respond All players participating in gendered competition must provide Proof of Gender. Trans athletes must have completed gender reassignment (gonadectomy) at least two years prior to competition. Additionally, Proof of Gender for trans athletes must include the following: Post-puberty i) Identification of physician who conducted pre-operative psychiatric evaluation, including name, address and phone number; ii) Hospital records confirming completed surgical gonadectomy; iii) All office records documenting related follow-up treatment; iv) Executed waiver allowing members of USGA medical panel to contact all treating physicians if deemed necessary. In the event that hospital records have been purged or lost, or are other otherwise unobtainable, a current physical examination performed by a physician experienced in this type of surgery, a report from that physician, and the documentation referenced in (i) and (iii) above, will be considered and reviewed. No transgender inclusion policy. Developing policy for 2018, most likely adopting IOC guidelines. Did not respond United States Soccer Federation United States Tennis Association US Biathlon Association US Figure Skating US Lacrosse US Quidditch †US Sailing US Speedskating US Squash †USA Archery USA Baseball USA Basketball †USA Boccia USA Boxing Recreational Elite For the purposes of registration on gender-based amateur teams, a Federation player may register with the gender team with which the player identifies, and confirmation sufficient for guaranteeing access shall be satisfied by documentation or evidence that shows the stated gender is sincerely held, and part of a person’s core identity. Documentation satisfying the herein stated standard includes, but is not limited to, government-issued documentation or documentation prepared by a health care provider, counselor, or other qualified professional not related to the player. Above policy does not apply to national teams or pro leagues. Follows IOC guidelines Did not respond No transgender inclusion policy; gender identity included in non-discrimination policy US Lacrosse has no concrete transgender inclusion policy, acknowledging that trans athletic participation is determined on a state-by-state basis. However, US Lacrosse's recommended guidelines are as follows: Under-18 recreation Recommends allowing players to self-identify Over-18 elite Subject to IOC guidelines for transgender athletes Allows athletes to self-identify No transgender inclusion policy; non-discrimination and eligibility policies include gender identity and gender expression Did not respond Did not respond Follows IOC guidelines Did not respond Did not respond Did not respond Adheres to the Stockholm Consensus; currently revising its Medical Handbook USA Climbing USA Curling Recreational Elite (international/national) USA Cycling Non-elite Elite USA Diving USA Fencing USA Field Hockey †USA Floorball USA Footvolley USA Gymnastics Recreational A competitor may register for a membership as the gender with which the competitor identifies. If that gender is different from the gender reflected on the competitor’s birth certificate, or is a different gender from that previously used by the competitor as a USA Climbing member, the competitor must provide to USA Climbing an objective manifestation (documentation or other evidence) that shows the stated gender is sincerely held and reflects the person's core identity. Documentation satisfying this standard generally may include, without limitation, government-issued documentation n or documentation prepared by a health care provider or licensed counselor must not be the athlete's first or second degree relative. This rule is subject to any superseding rule or policy of any applicable national or international governing body with respect to international competition. Curlers will be allowed to compete on the gendered teams they identify with, provided they provide one of the following: - Government issued ID stating identified gender - Letter from licensed physician or therapist outlining curler's gender - Letter of understanding from USCA confirming curler's gender Trans curlers must abide by IOC and World Curling Federation (WCF) trans inclusion guidelines Allows trans athletes to self-identify (in the event that an athlete's gender is in question, athlete may be required to provide evidence of eligibility) Athletes must follow IOC guidelines regarding trans inclusion Did not respond Did not respond Did not respond No transgender inclusion policy; elite levels comply with the International Floorball Federation Did not respond Applicant must submit a formal letter with a request to participate in USA Gymnastics sanctioned events, which must include a statement affirming the gender identity of the athlete. If the athlete is a minor, the request must be submitted by a parent/guardian. If the athlete is under age 18, he/she/they may also submit a personal statement in support of his/her/their request. Applicant must provide a confirmation of gender identity from a medical professional, and if applicable, must provide any information related to an athlete's transition/intent to transition status. Applicants must agree to comply with all aspects of the eligibility determination. Committee will research applicable state discrimination laws and non-discrimination policies. Pre-puberty Athletes may be granted eligibility to participate in their affirmed gender. Some of the evaluative criteria include: - Age - Gymnastics Discipline - Gymnastics Level - Gymnastics Experience - Evaluation of competitive advantage - Support from gymnastics community Athletes will be eligible for participation after completing their transition, provided the following: Post-puberty Elite USA Hockey USA Judo USA Karate Pre-puberty Post-puberty MTF Individual: -Surgical anatomical changes have been completed, to include the appropriate sex reassignment. Eligibility should begin no sooner than two years after gonadectomy. -Legal recognition of assigned sex is obtained from the appropriate authorities. -Hormone therapy has been administered in a verifiable manner and for a sufficient length of time (one year minimum) to minimize genderrelated competitive advantages. FTM Individual: -If gender confirmation surgery is desired, the surgery has been completed, the athlete is in good health, and has been cleared by their surgeon to participate in gymnastics -Legal recognition of assigned sex is obtained from the appropriate authorities. If hormone therapy is desired, it is being monitored by a medical doctor and is not being used as a way to enhance athletic advantage. Subject to IOC, International Gymnastics Federation (FIG), United States Olympic Committee (USOC) Guidelines on trans athletes Did not respond Did not respond Policy aligns with WKF and NCAA policies a) Individuals transitioning from male to female before puberty shall be regarded as girls and women (female) b) Individuals transitioning from female to male before puberty shall be regarded as boys and men (male) a) Those who transition from female to male shall only be eligible to compete in the male category without restriction if: i) the athlete has declared that his gender identity is male. USA Powerlifting †USA Rugby Pre-puberty Post-puberty USA Shooting †USA Swimming USA Softball USA Synchronized Swimming USA Taekwondo †USA Table Tennis USA Team Handball USA Track & Field 18 and under Over 18 Minors (18 and under) Recreational Elite USA Triathlon USA Ultimate Youth College/Senior ii) The athlete must demonstrate that her total testosterone level in serum has been below 10 nmol/L for at least 12 months prior to her first competition. iii) The athlete’s total testosterone level in serum must remain below 10 nmol/L throughout the period of desired eligibility to compete in the female category. d. Compliance with these conditions may be monitored by testing. In the event of non-compliance, the athlete’s eligibility for female competition will be suspended for 12 months. Did not respond Follows World Rugby's "Gender Identity Disorder (GID) and Disorders of Sexual Difference (DSD) Policy" Individuals who have had sexual reassignment before puberty are considered to be female or male and will be allowed to play Rugby in the reassigned gender group. Individuals are subject to the regulations of the Stockholm Consensus Did not respond Allows athletes to self-identify Follows IOC guidelines Did not respond USA Synchro has a suggested policy allowing minor athletes to self-identify Did not respond No transgender inclusion policy Did not respond Allows athletes to self-identify Follows IOC guidelines Did not respond For youth competition, any transgender athlete may participate in accordance with his or her gender identity irrespective of the gender listed on the athlete's birth certificate or other records, and regardless of whether the athlete has undergone any medical treatment. This policy shall not prevent a transgender athlete from electing to participate according to his or her assigned birth gender. A trans male (female to male) athlete: a) Who is not taking testosterone related to gender transition may participate on an open or women’s team, or may count towards the female gender ratio on a mixed team.  b) Who has received medical treatment with testosterone related to gender transition may compete on an open team or count towards the male gender ratio in mixed competition, but is no longer eligible to compete on a women’s team or count towards the female gender ratio in mixed competition. A trans female (male to female) athlete: †USA Volleyball All ages 12 and under MTF 13-18 years MTF 18+ MTF USA Water Polo USA Weightlifting Pre-puberty Post-puberty a) Who is not taking hormone treatments related to gender transition may not compete on a women’s team or count towards the female gender ratio in mixed competition. b) Being treated with testosterone suppression medication related to gender transition may compete on an open team or count towards the male gender ratio in mixed competition, but may not compete on a women’s team or count towards the female gender ratio in mixed competition until completing one calendar year of testosterone suppression treatment. USAV’s “transsexual testing requirements” do not apply to IOC sanctioned events Female to Male, all age groups (prepubertal, pubertal, and adult): - All athletes must submit appropriate documentation upon request. Testosterone levels must not exceed the upper limit of the normal male reference range for their age group. Male to Female: - All athletes must submit appropriate documentation upon request. Testosterone levels must not exceed the upper limit of the normal female reference range for their age group. No restriction if seeking to play on a female team. (registered as a Junior, including a 19 year old still in high school) Testosterone levels must be within normal female reference range (for the age range) for a minimum of 6 months preceding the application to participate. Testosterone levels must fall within normal adult female reference range for a minimum of 1 year prior to the application to participate. Did not respond Applicant must submit a formal letter with a request to participate in USA Weightlifting sanctioned events, which must include a statement affirming the gender identity of the athlete. If the athlete is a minor, the request must be submitted by a parent/guardian. If the athlete is under age 18, he/she/they may also submit a personal statement in support of his/her/their request. Applicant must provide a confirmation of gender identity from a medical professional, and if applicable, must provide any information related to an athlete’s transition/intent to transition status. Applicants must agree to comply with all aspects of the eligibility determination. Committee will research applicable state discrimination laws and non-discrimination policies. Athletes may be granted eligibility to participate in their affirmed gender. Some of the evaluative criteria include: - Age - Weightlifting Experience - Evaluation of competitive advantage Athletes will be eligible for participation after completing their transition, provided the following: USA Wrestling USRowing †policy obtained via email Updated: Jan. 3, 2018 Pre-puberty Post-puberty Recreational Elite MTF Individual: - Surgical anatomical changes have been completed, to include the appropriate sex reassignment - Eligibility should begin no sooner than three years after gonadectomy. - Legal recognition of assigned sex is obtained from the appropriate authorities - Should show evidence that hormone therapy has been administered in a verifiable manner and for a sufficient length of time (one year minimum) to minimize gender-related competitive advantages. FTM Individual: - If gender confirmation surgery is desired, the surgery has been completed, the athlete is in good health, and has been cleared by their surgeon to participate in Weightlifting - Legal recognition of assigned sex is obtained from the appropriate authorities - If hormone therapy is desired, it is being monitored by a medical doctor and is not being used as a way to enhance athletic advantage Allows athletes to self-identify Follows IOC guidelines Allows athletes to self-identify Must comply with rules of entity running event (FISA, IOC) 1 terminology used in the Conditions section reflects the language used in existing policies; not all policies use inclusive language or preferred terms