Introduction: Many non-binary and trans people (NBTs) have reported experiencing violence in public toilets of the gender they identify with, rather than the gender assigned to them at birth, fuelling their gender dysphoria. To address these issues, inclusive public toilets have been created in some parts of the world, rethinking the phsysical and social environments of these spaces, with a relative poor success.
Objective: To formulate evidence-based guidelines for the design of inclusive public toilets.
Methods: A scoping review of the litterature was carried out in five scientific databases (Academic Search Premier; CINAHL; Embase; Medline; Web of Science). In addition, grey literature documents were identified using Google Scholar. In total, the search yielded some 1,464 articles. After title and abstract revision, the full text of 87 articles were read and 28 articles were kept. These were differentially processed by two independent reviewers on Covidence.
Results: Literature suggests that “hidden occupations” in toilets (seeking privacy, addressing personal medical needs or private discussions) are common but mostly overlooked in the design process. Those occupations must be considered to foster an inclusive experience in those spaces. Moreover, to establish inclusive toilets, it is necessary to analyse the context in which they will be implemented to verify safety issues for women and minors.
Conclusion: In the expanding practice of Occupational Therapists, it becomes essential to understand the issues involved in the occupations taking place in inclusive toiletes. The aim of this presentation is to promote awareness of these issues throughout discussions at WFOT 2026.