On February 23 through February 26, 2019, General Conference met in St. Louis, Missouri, to address the single issue of language in the "Book of Discipline" about human sexuality. In total, 129 Annual Conferences were represented. Of those, 54 Annual Conferences representing 7 million members were from the United States and 75 Annual Conferences representing 5.7 million members were from Europe, Eurasia, the Philippines, and Africa. At least eight countries that criminalize homosexuality (Sierra Leone, Liberia, Nigeria, Zimbabwe, Zambia, Tanzania, Burundi, and Kenya) were represented. The Traditional Plan, "which excludes LGBTQ persons from ordained leadership and prohibits ministers from officiating at same-sex marriages", passed with a vote of 438 in favor and 384 against.