Thailand, Brazil, Philippines and other countries have thriving sex trades including gay.
Again, they have that in certain areas, not saying it's right. Secondly, you don't see their political leaders, schools, or corporations anything close to what American politicians, some school districts it companies doing the most.
If you see it, it's forced upon by America. Like how you saw Obama finger wagging at Kenyans for not accepting it openly. I've been to Kenya. No one is killing gays there. They keep it on the low. Like 99% of most countries.
Also, as I said, I don't think Americans are as accepting of certain things despite the poll. People will say what they think is correct and do the opposite. Google the Bradley Effect. When LA Tom Bradley was running for Governor polls showed he was ahead. He lost big. White folks told pollsters one thing do as not to sound racist and did another.
Same with Trump. At first, people who lived around liberal/progressive people didn't want to admit they were voting for Trump.
I think its the same with transgenders. The few times I've seen them, even in supposedly very liberal LA, and it was around white folks, white families were very wary. I saw one at the Costco once in line and the workers were very careful, super polite and you could tell was very scared to have to use a pronoun.
We've always been around gays and its not a big deal, but the transgenders are an entirely different issue.