In response to the urgent need to ensure equitable, safe, and dignified access to healthcare for all LGBTQI+ people in Europe, a collective manifesto was drafted in the lead-up to the conference. The result of a participatory process involving activists, healthcare professionals, researchers, and community organizations, this text presents a clear assessment of the systemic discrimination affecting LGBTQI+ health and calls for a structural transformation of public health policies.

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The manifesto highlights persistent inequalities, institutional violence, barriers to accessing care, and the lack of recognition for lived experience and community-based knowledge. It brings visibility to the community-driven responses developed across Europe and calls for their recognition, funding, and integration into health systems.

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It outlines concrete demands such as the ban on conversion therapies and intersex genital mutilation, access to gender-affirming and non-pathologizing transition care, recognition of peer support as legitimate healthcare, universal access to PrEP and inclusive sex education, mandatory integration of LGBTQI+ realities in medical training, structural support for community health centers, the systematic collection of SOGIESC data, and the meaningful participation of LGBTQI+ people in public health decision-making.

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This document is a powerful advocacy tool addressed to policymakers, government institutions, and society as a whole to demand a truly inclusive model of health democracy.

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On 20 June 2025, almost 50 organisations, associations, health centres, groups and research centres working on LGBTQI+ community health had signed the manifesto. Signatures are open till September 2025.