In the last 20 years, several countries in Latin America have sought uneven and disparate legal transformations affecting the lives of lesbian, gay, bisexual, and transgender (LGBT) individuals and collectives. These new legal measures have taken place simultaneously, with deepening structures of social, gender, and sexual injustice challenging their view as indicators of progressive change. In this contradictory context, LGBT social policies have emerged as a specialized field of state action because of two parallel trends: the macro political politics affecting the region, and the accumulated experience of gender and sexual social mobilizations in their interactions with the state. There are many variations of this emerging field of social policies because it is shaped by the meaning provided by local actors such as interest groups, activists, and policy makers, and their translation into policy lobbying, policymaking, and policy negotiation. As result of these innovations, gender identity and sexual orientation have nowadays entered into the language of policymaking and policy implementation. These legal measures have opened spaces for social and political participation that were not there before. Nevertheless, LGBT policies are new regimes of governmentality that control the inclusion of gender and sexual social mobilizations into citizenship and democracy.