In a country known for its diversity, it’s so ironic that there are still places where being LGBTQ+ is a curse. The Pride parades and rainbow flags we see in the media aren’t the true representation of inclusive America. After carefully analyzing data from 200 major cities, we’ve identified 25 cities where LGBTQ+ acceptance isn’t a given, even in 2024.
From fair treatment policies to healthcare access, we’ve considered 20+ factors that reveal where equality falls short. By highlighting these cities, we’re not just pointing out problems—we’re calling for change. Let’s learn more about their present situation:
25. Baton Rouge, LA
Out of 200 cities, Baton Rouge, LA, ranked 176th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 20.20
Equality Rank: 170
Affordability Rank: 167
Pride-Readiness Rank: 68
Community Support Rank: 143
Health Care Access Rank: 104
24. Shreveport, LA
Out of 200 cities, Shreveport, LA, ranked 177th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 20.07
Equality Rank: 148
Affordability Rank: 161
Pride-Readiness Rank: 115
Community Support Rank: 176
Health Care Access Rank: 96
23. Columbus, GA
Out of 200 cities, Columbus, GA, ranked 178th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 19.78
Equality Rank: 166
Affordability Rank: 147
Pride-Readiness Rank: 95
Community Support Rank: 142
Health Care Access Rank: 175
22. Carrollton, TX
Out of 200 cities, Carrollton, TX, ranked 179th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 19.63
Equality Rank: 180
Affordability Rank: 29
Pride-Readiness Rank: 183
Community Support Rank: 115
Health Care Access Rank: 135
21. Mobile, AL
Out of 200 cities, Mobile, AL, ranked 180th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 19.56
Equality Rank: 185
Affordability Rank: 160
Pride-Readiness Rank: 30
Community Support Rank: 129
Health Care Access Rank: 171
20. Waco, TX
Out of 200 cities, Waco, TX, ranked 181st on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 19.44
Equality Rank: 173
Affordability Rank: 102
Pride-Readiness Rank: 131
Community Support Rank: 136
Health Care Access Rank: 168
19. Irving, TX
Out of 200 cities, Irving, TX, ranked 182nd on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 19.31
Equality Rank: 168
Affordability Rank: 30
Pride-Readiness Rank: 164
Community Support Rank: 171
Health Care Access Rank: 183
18. Clarksville, TN
Out of 200 cities, Clarksville, TN, ranked 183rd on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 18.58
Equality Rank: 167
Affordability Rank: 148
Pride-Readiness Rank: 133
Community Support Rank: 150
Health Care Access Rank: 165
17. Port St. Lucie, FL
Out of 200 cities, Port St. Lucie, FL, ranked 184th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 18.56
Equality Rank: 179
Affordability Rank: 71
Pride-Readiness Rank: 148
Community Support Rank: 137
Health Care Access Rank: 169
16. West Valley City, UT
Out of 200 cities, West Valley City, UT, ranked 185th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 18.48
Equality Rank: 152
Affordability Rank: 85
Pride-Readiness Rank: 198
Community Support Rank: 193
Health Care Access Rank: 195
15. Cape Coral, FL
Out of 200 cities, Cape Coral, FL, ranked 186th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 18.09
Equality Rank: 191
Affordability Rank: 107
Pride-Readiness Rank: 52
Community Support Rank: 154
Health Care Access Rank: 128
14. Amarillo, TX
Out of 200 cities, Amarillo, TX, ranked 187th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 17.68
Equality Rank: 183
Affordability Rank: 44
Pride-Readiness Rank: 146
Community Support Rank: 165
Health Care Access Rank: 184
13. McAllen, TX
Out of 200 cities, McAllen, TX, ranked 188th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 17.64
Equality Rank: 199
Affordability Rank: 38
Pride-Readiness Rank: 86
Community Support Rank: 140
Health Care Access Rank: 170
12. Macon, GA
Out of 200 cities, Macon, GA, ranked 189th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 17.14
Equality Rank: 175
Affordability Rank: 117
Pride-Readiness Rank: 185
Community Support Rank: 133
Health Care Access Rank: 164
11. Grand Prairie, TX
Out of 200 cities, Grand Prairie, TX, ranked 190th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 16.74
Equality Rank: 187
Affordability Rank: 65
Pride-Readiness Rank: 177
Community Support Rank: 167
Health Care Access Rank: 137
10. Pembroke Pines, FL
Out of 200 cities, Pembroke Pines, FL, ranked 191st on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 16.60
Equality Rank: 186
Affordability Rank: 98
Pride-Readiness Rank: 158
Community Support Rank: 160
Health Care Access Rank: 145
9. Brownsville, TX
Out of 200 cities, Brownsville, TX, ranked 192nd on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 16.02
Equality Rank: 177
Affordability Rank: 86
Pride-Readiness Rank: 118
Community Support Rank: 196
Health Care Access Rank: 200
8. Mesquite, TX
Out of 200 cities, Mesquite, TX, ranked 193rd on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 15.18
Equality Rank: 177
Affordability Rank: 99
Pride-Readiness Rank: 194
Community Support Rank: 199
Health Care Access Rank: 193
7. Killeen, TX
Out of 200 cities, Killeen, TX, ranked 194th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 15.03
Equality Rank: 193
Affordability Rank: 178
Pride-Readiness Rank: 107
Community Support Rank: 158
Health Care Access Rank: 157
6. Laredo, TX
Out of 200 cities, Laredo, TX, ranked 195th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 14.68
Equality Rank: 197
Affordability Rank: 66
Pride-Readiness Rank: 181
Community Support Rank: 170
Health Care Access Rank: 199
5. Augusta, GA
Out of 200 cities, Augusta, GA, ranked 196th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 14.56
Equality Rank: 190
Affordability Rank: 116
Pride-Readiness Rank: 139
Community Support Rank: 188
Health Care Access Rank: 158
4. Pasadena, TX
Out of 200 cities, Pasadena, TX, ranked 197th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 14.56
Equality Rank: 194
Affordability Rank: 78
Pride-Readiness Rank: 171
Community Support Rank: 178
Health Care Access Rank: 194
3. Garland, TX
Out of 200 cities, Garland, TX, ranked 198th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 13.63
Equality Rank: 195
Affordability Rank: 139
Pride-Readiness Rank: 184
Community Support Rank: 177
Health Care Access Rank: 181
2. Miramar, FL
Out of 200 cities, Miramar, FL, ranked 199th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 12.74
Equality Rank: 200
Affordability Rank: 96
Pride-Readiness Rank: 189
Community Support Rank: 125
Health Care Access Rank: 178
1. Hialeah, FL
Out of 200 cities, Hialeah, FL, ranked 200th on the “Most LGBTQ-Friendly Cities” list. These are the standards by which this rating was determined.
Overall Score: 10.75
Equality Rank: 198
Affordability Rank: 196
Pride-Readiness Rank: 169
Community Support Rank: 187
Health Care Access Rank: 177
