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This is a list of openly transgender, intersex, and nonbinary officeholders by office in the United States. The first transgender public officeholder in the United States was Joanne Marie Conte, elected to Arvada, Colorado's City Council in 1991.
As of January 2025, the highest-ranking public official is Sarah McBride, who represents Delaware's at-large congressional district in the United States House of Representatives. The highest ranking appointed official was Rachel Levine, who was an Assistant Secretary for Health from 2021 to 2024.
This list is arranged chronologically by politicians' first years in each office. Some officeholders listed were not elected while out as transgender, and either came out or were outed at a later date.