The flag flew above US state capitol buildings for the first time on Transgender Day of Remembrance 2019. In March 2019, dozens of Democratic and independent members of Congress flew the flag outside their offices for Trans Visibility Week leading up to the International Transgender Day of Visibility. In January 2019, Virginia Representative Jennifer Wexton hung the transgender pride flag outside her office in Washington, D.C., in a move to show support for the transgender community.

Transgender flag hanging out front of Congressmember Ruben Gallego's office at the United States Capitol in 2019 Then-Mayor Michael Nutter gave a speech in honor of the trans community's acceptance in Philadelphia. It was raised at City Hall in honor of Philadelphia's 14th Annual Trans Health Conference, and remained next to the US and City of Philadelphia flags for the entirety of the conference. Philadelphia became the first county government in the US to officially raise the transgender pride flag in 2015. On 19 August 2014, Monica Helms donated the original transgender pride flag to the Smithsonian National Museum of American History. The flag-raising ceremony was presided over by local drag queen La Monistat. The flag was flown from the large public flagpole in San Francisco's Castro District (where the rainbow flag usually flies) for the first time on 19 and 20 November 2012 in commemoration of the Transgender Day of Remembrance. Transport for London also flew the flag from London Underground's 55 Broadway Headquarters for the 2016 Transgender Awareness Week. In the United Kingdom, Brighton and Hove council flies this flag on the Transgender Day of Remembrance. The stripe in the middle is white, for those who are transitioning or consider themselves having a neutral or undefined gender. The stripes next to them are pink, the traditional feminine color. The stripes at the top and bottom are light blue, the traditional masculine color. Helms describes the meaning of the transgender pride flag as follows: The flag's design represents the transgender community, and consists of five horizontal stripes: two light blue, two pink, and one white in the center. The flag was created by American trans woman Monica Helms in 1999, and was first shown at a pride parade in Phoenix, Arizona, in 2000. The most prominent transgender flag design is the 'Transgender Pride Flag', used as a symbol of transgender pride and diversity, and transgender rights. There have been, and continue to be, alternatives suggested to these flags, and the varying flags have been and continue to be used to represent transgender pride, diversity, rights and/or remembrance by transgender people, their organizations, their communities and their allies. Similar to the worldwide adoption of a number of identity-specific flags by the LGBT community around the world, including the Rainbow flag, the transgender pride flag is used throughout the world to represent the transgender community, though there are several other flags used and endorsed by various transgender people, organizations and communities.

It was designed by American trans woman Monica Helms to represent the transgender community, organizations, and individuals. The best-known transgender flag, proposed in 1999, is a pride flag of five horizontal stripes of three colors-light blue, light pink and white.

Light blue white light blue flag