Abstract
Transgender describes a person whose gender identity does not match their natal sex or does not align with traditional notions of masculinity or femininity.1 Transgender youth have higher rates of anxiety, depression, substance abuse and suicide than their peers.2,3
According to the Pakistan census 2017, officially registered transgender population is 10,418 but actual number is considered to be much higher.4 Data from developed world reported that in the United States approximately 0.6% of adults or 1.4 million persons, identify as transgenders.5 Many transgender persons experience barriers to health care access and medical mistreatment.6 In a web-based survey of more than 6000 transgenders approximately 25% of respondents reported that they had been denied medical services and 30% reported that they had avoided care owing to fear of discrimination.7

Key words: Transgenders, hermaphrodite.