CDMX pioneered local marriage equality legalization (passed by Legislative Assembly December 21, 2009; effective March 4, 2010) — first Latin American city. Capital has dedicated LGBTTTI Office (Copred) and operational anti-discrimination units.
LGBT-friendly health services: Clínica Condesa (HIV/STI specialized, free PrEP for residents, trans hormone care), Clínica Especializada Iztapalapa. Active orgs: Letra S (policy advocacy), Cuenta Conmigo (LGBT youth), Casa Frida (LGBT migrant asylum). Public health (IMSS/ISSSTE/Insabi) and private in parallel.