The World Health Organization is working on a revision of its International Classification of Diseases. While the American Psychiatric Association is busily trying to revise its Diagnostic and Statistical Manual of Mental Disorders, the process of revising the ICD is a separate process. Both revision processes have important implications for how we conceptualize, assess, and treat sexual and gender concerns - and what might be covered services by health ministries and/or health insurances. Quite a bit of new research has challenged the current taxonomies of sexual and gender diagnoses. This presentation will review the input from a variety of professional organizations to the ICD revision process. There is quite a bit of debate and the controversial areas will be reviewed. The presentation will be a glimpse into what may or might not be changed in the new revision of ICD.