People diagnosed with gender dysphoria in Japan are getting more support from social security, including the ability to have the names they usually go by printed on their health insurance cards and to get coverage for gender reassignment surgery under certain conditions.

But even as greater consideration is shown toward transgender individuals, problems still loom for them in old age, including pension payouts that might be altered by transitioning and potential problems receiving appropriate nursing care.

Last year, the Health, Labor and Welfare Ministry notified prefectures that people with gender dysphoria can have the names they go by printed on their health insurance cards if they submit a medical certificate issued by a doctor and other documents.