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Out in the World: LGBTQ news from Europe and Asia

German lawmakers on Friday passed a transgender rights bill

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(Los Angeles Blade graphic)

MONACO

(Photo courtesy of the Principality of Monaco)

Monaco’s top court struck down two lower court rulings that would have required the tiny Mediterranean principality to recognize foreign same-sex marriages, in a ruling that has not yet been published.

The case centered around a binational Monegasque-American same-sex couple who married in Grand Rapids, Mich., in August 2019 while residents in that state. When they returned to Monaco the following year, the government refused to record them in the state register of marriages.

“Although valid, this union cannot be transcribed in the marriage register in view of its manifest contrariety with Monegasque public order characterized by the constitutional principle according to which the Catholic, Apostolic and Roman religion is the state religion,” stated a letter from the Public Prosecutor’s Office in a letter to the Civil Registrar on the matter.

The letter goes on to invite the couple to instead form a cohabitation contract, which has been available to same-sex couples in Monaco as a form of civil union since 2020.

The couple rejected that offer and appealed to the attorney general, who again refused to recognize the marriage, so the couple took their case to court.

In March 2022, the court of first instance ruled in the couple’s favor, citing the presumption in international private law that marriages validly concluded in one country are generally recognized in any country. The court also found that the same-sex marriages are not contrary to the public order simply because Catholicism is the state religion, and that the cohabitation agreements are inadequate to protect the family rights of married couples.

The prosecutor general quickly appealed the decision, but the Court of Appeal once again ruled in September 2023 in the couple’s favor. The court also found that the state’s offer that the couple could protect their rights through a cohabitation agreement to be impractical, as the cohabitation law specifically says that agreements are unavailable to anyone who is already married. 

Still, the government appealed the decision to the Court of Revision, Monaco’s highest court dealing with administrative matters. That court finally ruled that the government is not obliged to record same-sex marriages, striking down the previous two rulings. 

LGBTQ rights have long been a contentious issue in the tiny city-state of approximately 39,000. While there are no local LGBTQ advocacy organizations, the state has been pushed to enhance the legal rights of its queer citizens by its larger European neighbors.

Monaco was one of the last states in Western Europe to offer legal recognition to same-sex couples through the 2020 Cohabitation Agreement Bill, which came about largely because Monaco recognized it was in violation of the European Convention on Human Rights, which courts have interpreted as requiring states to give equal recognition to same-sex couples. 

Still, the cohabitation agreement is explicitly unequal to marriage. Couples in cohabitation agreements are not considered families and can even include siblings or other relatives. They don’t enjoy equal treatment in terms of taxation or inheritance, can’t choose a common surname and can’t adopt and cohabitation with a Monegasque citizen doesn’t entitle a partner to residency rights the way marriage does.

Monaco also lacks any anti-discrimination protections for LGBTQ people, and transgender people are not allowed to change their legal gender. 

ITALY

Italian Prime Minister Giorgia Meloni with Argentine President Javier Milei in February during a state visit. (Photo courtesy of Meloni’s office)

During a press briefing Friday at the conference “For a Young Europe: Demographic Transition, Environment, Future,” Italian Prime Minister Giorgia Meloni took aim at the practice of surrogacy which is already illegal in Italy saying the practice is “inhuman.” 

The prime minister’s party recently introduced legislation in the Italian Parliament that would further criminalize the act by hiking fines from €600,000 to €1 million ($640,290 to $1,067,150) and increasing jail terms from three months up to two years.

“I continue to believe that surrogacy is an inhuman practice,” Meloni said. “I support the bill that makes it a universal crime,” she added.

Last week Pope Francis issued a papal document, the 20-page Dignitas infinita, which stated that surrogacy “violates” both the dignity of the child and the woman, who “becomes a mere means subservient to the arbitrary gain or desire of others.” The document also declared gender-affirming surgery to be a grave violation of human dignity.

CNN reported that the move to criminalize surrogacy is largely seen as a move against the LGBTQ community. Italy was the last European country to legalize same sex unions, which it did in 2016 but does not allow gay couples to be “married,” in line with the Catholic Church.

Under Meloni’s government, birth certificates were changed to list “mother” and “father” rather than “parent 1” and “parent 2.” In 2023 some communities where her Brothers of Italy leads the government, names of lesbian mothers were removed from birth certificates.

CZECH REPUBLIC

Czech Parliament (Photo courtesy of the Czech Parliament)

The Czech Senate began consideration of bill that would enhance the rights of people in same-sex civil partnerships this week, continuing a tense legislative process that has seen pro-and anti-LGBTQ groups lobbying lawmakers to make changes to the bill.

The civil partnership bill passed through the lower house of parliament in February. It was a compromise after a bill that would have allowed same-sex marriage couldn’t get enough support to pass. 

The bill makes registered partnerships, which have been legal in the Czech Republic since 2005, equivalent to marriage in all matters except adoption. Same-sex couples will have the right to stepchild adoption only — couples will not be allowed to jointly adopt.

Some senators have presented amendments to the bill that would allow same-sex marriage and full joint adoption, but some legislators think this strategy is risky — any amendments would send the bill back to the lower house, where it’s not clear they could pass. 

On the other hand, some senators are pushing amendments that would water down the bill further, by eliminating adoption entirely. 

Leading up to the senate debate, LGBTQ advocates were sanguine about the prospects of getting everything they want.

“Together with the majority of Czech society, we sent a clear message to our legislators: Only the institute of equal marriage will ensure equal legal protection, social security and family stability for all couples and families with children,” wrote Lucia Zachariášová a lawyer who works with the LGBTQ advocacy organization Jsme Fér in an open letter to legislators this week. 

“However, the partnership can at this moment fulfill a promise repeated so much that if it is not a question of marriage, there will be no problem to accept such a solution. It is important to repeat again: it will help especially families with children to have a little more restful sleep,” she writes.

So far, three senate committees have examined the bill, recommending either that the Senate pass the bill as is or simply not debate it. In the Czech system, if the Senate doesn’t address a bill passed by the House, it is sent to the president to be signed into law anyway. The president is expected to sign the bill, as he campaigned for full marriage equality.

One more committee is set to examine the bill next week before it’s scheduled for debate on the senate floor April 17. 

If the Senate rejects a bill, or passes it with an amendment, it returns to the lower house, where deputies can either accept the amendment or reaffirm the bill with the support of an absolute majority or 101 votes. The bill originally passed through the lower Chamber of Deputies with 118 votes in favor.

While Czech LGBTQ people are disappointed by the lack of progress on marriage equality, they’re also anxious to get the bill passed, as it would still offer a great improvement to the legal rights of many same-sex couples and their children.

“The House is not expected to improve the amendment. On the contrary, there is a fear that the situation could worsen or that everything would fall under the table,” Jsme Fér said of the progress on the bill in a post on X. “[Senators] fear a debate that might not be dignified for hundreds of thousands of LGBT people, and after six years of debates in the House of Representatives, everything important has already been said.”

GERMANY

The German Reichstag in Berlin in 2022. (Washington Blade photo by Michael K. Lavers)

The German Parliament on Friday voted 374-251 to pass a new law allowing trans people to change their legal gender by a simple administrative procedure, replacing outdated requirements from the 1980s for declarations of support from doctors and other invasive procedures.

The new law also imposes hefty fines of up to €10,000 ($10,658.85) on anyone intentionally disclosing a trans person’s previous name or gender for a harmful purpose. The law allows exceptions in cases where disclosure would be a legal requirement, for example in a court proceeding or a police investigation.

Under the new law, trans people may change their legal gender to male, female or “diverse” — a third-gender option already available under German law. Applicants can also request that no gender details be recorded at all. Trans people will simply file a request, and then appear in person at a registry office three months later to make the change official. 

The new law is open to people over 18. Those between 14 and 17 will need a parent’s permission to file the application, while those under 14 will require parents to file the application on their behalf. 

Applicants are limited to one name and gender change within 12 months. The law also allows the government to suspend applications to change legal gender from male to female or diverse made up to two months before a national emergency is declared.

The law continues to allow operators of women-only spaces, such as gyms or changing rooms, to decide on their own who is allowed to access them. 

German Chancellor Olaf Scholz said the law was about showing respect to gender-diverse people.

“We show respect to trans, intersex and non-binary people — without taking anything away from others. This is how we continue to drive the modernization of our country. This includes recognizing realities of life and making them possible by law,” Scholz wrote in a statement on X.

The law was part of the governing agreement made by the current governing coalition. The upper house of parliament does not need to vote on the bill. The law will come into effect in November.

Under the 1980 Transsexuals Law, trans people were required to get two expert reports from doctors attesting that the applicant will not be likely to want to return to their previous legal gender. These reports often required trans people to undergo invasive psychological and physical examinations and would add months of delay and average additional costs of up to €2000 (approximately $2,130.)

The Constitutional Court struck down a requirement that trans people have sex reassignment surgery and be sterilized in 2011. The same court required the government to create a non-binary option for intersex people in 2017, which the government did a year later.

Germany’s coalition government, in place since September 2021, has promised to introduce several pro-LGBTQ policies, including creating a hate crime law, amending the Basic Law to ban discrimination based on sexual identity, and automatic parenthood recognition for same-sex parents.

UNITED KINGDOM

(Photo by Rob Wilson via Bigstock)

A government-commissioned review of gender care services for trans youth in England and Wales has sparked an outcry from trans activists who say that the review discounted decades of research showing the value of gender care treatment to reach a conclusion that care should be restricted for youth.

The “Cass Review” was commissioned by the National Health Service England in 2020 to examine gender care services for young people following reports showing a large increase in the number of youth accessing care at the now-closed Gender Identity Development Service. The Review was led by Dr. Hilary Cass, a former president of the Royal College of Pediatrics and Child Health.

The disputed report concluded that there isn’t good scientific evidence to support most forms of gender care, including puberty blockers, hormone therapy or social transition.

“While a considerable amount of research has been published in this field, systematic evidence reviews demonstrated the poor quality of the published studies, meaning there is not a reliable evidence base upon which to make clinical decisions, or for children and their families to make informed choices,” reads an excerpt of the report’s executive summary.

But trans advocates criticized that conclusion, pointing out that Cass held existing studies of gender care to an impossible standard. Her report discounted any study that wasn’t based on double-blind trials, which they say would not be possible or ethical.

“The Cass Review dismisses a very large number of studies and omits studies from the past two years. Hence, it neglects a vast amount of evidence on the benefits of gender affirming medical treatment for trans youth in its analysis,” writes Dr. Hane Maung of the trans healthcare service GenderGP.

“For many medical interventions, including gender affirming medical treatment for trans youth, randomized controlled trials are unfeasible and unethical, because the consequences of not intervening would be very apparent to the participants and also would be unacceptably harmful,” he says.

The Cass Review urges caution in treatment for trans youth, including a new recommendation that medical consultations be undertaken before youth are allowed to socially transition — a major expansion of the medicalization of gender identity. Some trans activists also noticed that the review suggests increased surveillance of trans care through age 25, suspecting this implies further restricting care into adulthood.

The day the Cass Review was published, NHS England announced it would be launching a review of adult gender care, alleging whistleblower complaints.

The Guardian reports that Cass also advised the government to be cautious with the proposed ban on conversion therapy, which the government has put under review, but which is unlikely to be introduced before an election is held. Cass reportedly urged the minister responsible to ensure that doctors providing gender care are insulated from accusations of conversion practices, claiming that doctors are already afraid to take a more cautious approach to providing treatment.

The Cass Review has already made waves across the UK, with transphobic author JK Rowling claiming that it vindicates her years-long anti-trans campaigning, and claiming she would “never forgive” “Harry Potter” stars Daniel Radcliffe and Emma Watson for supporting trans rights.

Prime Minister Rishi Sunak endorsed the report’s findings.

“We care above all about the wellbeing of children and it’s clear that these things are not neutral acts, whether that’s social transitioning, any kind of medical intervention, we simply do not know the long-term effects of these things,” he says. “And that’s why anyone involved in considering these issues, of course, has to treat people with sensitivity and compassion, but also have to be extremely cautious when it comes to taking any action.”

The opposition Labour Party, which is expected to win national elections later this year, has already said it would implement all of the Cass Review recommendations when in government. Labour’s shadow minister for health told the Sun that he no longer stood by the statement that “trans women are women” in the wake of the review. 

The NHS Scotland and NHS Wales, which hold devolved responsibility for care in those countries, said they were reviewing Cass’ findings.

BELARUS

Belarusian President Aleksandr Lukashenko. (Belarusian Telegraph Agency screenshot)

The government of Belarus issued a decree this week declaring that depictions of LGBTQ people may be considered illegal pornography, whether or not sexual acts are depicted.

The Culture Ministry amended a decree on “erotic materials” to include homosexuality or transgender as “non-traditional sexual relationship or behavior,” equivalent to necrophilia, pedophilia, and voyeurism. 

That may mean that depictions of LGBTQ people are considered pornography. Under Belarussian law, production, distribution and public displays of pornography are punishable with up to 4 years in prison, or up to 13 years for child pornography. 

Using these new definitions, an innocuous picture of a same-sex couple with their child, or a picture of a trans child, or a picture of two same-sex teens on a date, could all be considered child pornography.

According to Human Rights Watch, it is not yet clear how the government plans to interpret and enforce the new decree.

Belarus is one of the least free countries in Europe according to the human rights advocacy group Freedom House. Often considered a client state of neighboring Russia, Belarus tends to follow its larger neighbor culturally and politically. The country has bene governed by President Alexander Lukashenko since 1994, with political dissidents routinely jailed and media heavily censored. 

LGBTQ Belarusians lack any protections from discrimination, and anti-LGBTQ violence is common. Officials have floated introducing a Russia-style “gay propaganda” law over the years, but one has never been formally enacted.

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Colombia

Colombia anunció la inclusión de las categorías ‘trans’ y ‘no binario’ en los documentos de identidad

Registraduría Nacional anunció el cambio el 28 de noviembre

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(Foto via Bigstock)

OrgulloLGBT.co es el socio mediático del Washington Blade en Colombia. Esta nota salió en su sitio web.

Ahora los ciudadanos colombianos podrán seleccionar las categorías ‘trans’ y ‘no binario’ en los documentos de identidad del país.

Este viernes la Registraduría Nacional del Estado Civil anunció que añadió las categorías ‘no binario’ y ‘trans’ en los distintos documentos de identidad con el fin de garantizar los derechos de las personas con identidad diversa.

El registrador nacional, Hernán Penagos, informó que hizo la inclusión de estas dos categorías en los documentos de: registro civil, tarjeta de identidad y cédula de ciudadanía.

Según la registraduría: “La inclusión de estas categorías representa un importante avance en materia de garantía de derechos de las personas con identidad de género diversa”.

Estas categorías estarán en el campo de ‘sexo’ en el que están normalmente las clasificaciones de ‘femenino’ y ‘masculino’ en los documentos de identidad.

En 2024 se inició la ejecución de diferentes acciones orientadas implementar componentes “‘NB’ y ‘T’ en el campo ‘sexo’ de los registros civiles y los documentos de identidad”.

Las personas trans existen y su identidad de género es un aspecto fundamental de su humanidad, reconocido por la Corte Constitucional de Colombia en sentencias como T-236/2023 y T-188/2024, que protegen sus derechos a la identidad y no discriminación. La actualización de la Registraduría implementa estos fallos que ya habían ordenado esos cambios en documentos de identidad.

Por su parte, el registrador nacional, Penagos, comentó que: “se trata del cumplimiento de unas órdenes por parte de la Corte Constitucional y, en segundo lugar, de una iniciativa en la que la Registraduría ha estado absolutamente comprometida”. Y explicó que en cada “una de las estaciones integradas de servicio de las más de 1.200 oficinas que tiene la Registraduría Nacional se va a incluir todo este proceso”.

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Japan

Tokyo court upholds Japan’s same-sex marriage ban

Country is only G7 nation without legal recognition of same-sex couples

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(Bigstock photo)

The Tokyo High Court on Nov. 28 ruled the lack of marriage rights for same-sex couples in Japan is constitutional.

The Associated Press notes Judge Ayumi Higashi upheld the legal definition of a family in Japan as a man and a woman and their children. The court also dismissed the eight plaintiffs’ demand for 1 million yen ($6,406.85) in damages.

Hiromi Hatogai, one of the plaintiffs, told reporters after the court ruled that she is “so disappointed.”

“Rather than sorrow, I’m outraged and appalled by the decision,” said Hatogai, according to the AP. “Were the judges listening to us?”

Japan remains the only G7 country without legal recognition of same-sex couples, even though several courts in recent years have ruled in favor of it.

The Sapporo District Court in 2021 ruled the denial of marriage benefits to same-sex couples violates the constitution’s equality clause. The Nagoya District Court in 2023 issued a similar ruling. The Fukuoka District Court in a separate decision said Japan’s current legal framework is unconstitutional. The Tokyo High Court in 2024 came to the same conclusion.

The Washington Blade last month noted Prime Minister Sanae Takaichi, who is Japan’s first female head of government, opposes marriage equality and has reiterated the constitution’s assertion the family is an institution based around “the equal rights of husband and wife.”

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India

India’s Jharkhand state works to improve trans people’s access to health care

People for Change working with local officials to address disparities

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Jkarhkand State Health Minister Irfan Ansari, right, meets with local LGBTQ activists. (Courtesy photo)

The transgender community has been part of India’s social fabric for centuries, but decades of policy neglect pushed many into poverty and inadequate health care. 

The Supreme Court formally recognized trans people as a third gender in 2014, yet state-level services developed slowly. Telangana opened India’s first dedicated trans clinic, the Mitr Clinic, in 2021 with support from the U.S. Agency for International Development and Johns Hopkins University. Jharkhand State has now ordered all government hospitals and medical colleges to establish dedicated outpatient units for transgender patients.

People for Change, an LGBTQ organization, spent the past year mapping gaps in trans health care across Jharkhand. Its surveys of 100 trans residents in five districts found limited access to gender-affirming care, hormone therapy, dermatology, and mental-health services. The group followed this survey with a May 2025 consultation in Jamshedpur, an industrial town in Jharkhand, that brought together clinicians and community leaders to outline a feasible outpatient model. 

Those findings were presented to Health Minister Irfan Ansari in June, backed by input from allied organizations and more than 50 trans leaders. The process helped inform the state’s decision to introduce dedicated trans outpatient departments in all government hospitals and medical colleges.

People for Change, which played a central role in shaping the policy, noted that government hospitals in Jharkhand still face infrastructure and resource gaps. Even so, the group said the order reflects a clear policy commitment to creating dedicated trans health services.

If Jharkhand’s trans outpatient departments system functions as planned, it could become a regional model for states with comparable gaps in public health access. 

Government data from the 2011 Census — the latest official count to identify an “other” gender category — lists 13,463 trans residents in Jharkhand, alongside sizable populations in neighboring states: 40,827 in Bihar, 30,349 in West Bengal, 22,364 in Odisha, 18,489 in Chhattisgarh, and 137,465 in Uttar Pradesh. Though likely underreported, these figures underscore the scale of need across eastern and central India.

“The decision to start dedicated transgender OPDs (outpatient departments) is not just an administrative step — it is a statement of inclusion, a recognition that the transgender community deserves discrimination-free, dignified, and responsive healthcare. When the government takes such a deliberate step, it sets a tone for systemic change,” said Souvik Saha, founder of People for Change. “It creates an official entry point for transgender healthcare.”

“For the first time, transgender persons will have a recognized and respectful space within the public health system,” added Saha. “That itself is a major shift. It signals to doctors, nurses, and administrators that transgender health is a priority. This leads to sensitization, accountability, and the gradual improvement of attitudes within hospitals.”

Saha told the Washington Blade the policy is likely to trigger broader improvements, noting that once a service is formally notified, budget allocations, training, infrastructure, and staffing typically follow. He said the move could strengthen the system gradually, “step by step.”

“We are realistic: we know improvements won’t happen overnight. But we are also optimistic because the state has already shown genuine leadership and empathy by issuing this order,” said Saha. “And since Jharkhand is celebrating its 25th year of formation, this decision reflects the state’s intention to move towards greater equality and social justice.” 

“For the transgender community, this is not just a service — it is dignity. It is visibility. It is inclusion,” he added. “And with the government, civil society, and community working together, we believe this will lead to meaningful and lasting change in the years ahead.”

Saha told the Blade that the dedicated transgender outpatient will operate within existing government medical colleges and hospitals in Jharkhand and will be staffed by current medical and paramedical teams, with no separate funding required at this stage. He said the policy does not call for separate wards or beds, but for clearly designated outpatient spaces for trans patients. The service, he added, will be run by existing staff who will receive training and orientation as needed.

“At this moment, the specific operational details are still being discussed with the government of Jharkhand. However, what is clear is: the OPD will function as a dedicated space within the hospital, not limited to a specific day,” said Saha. “Transgender individuals will have access to focused, discrimination-free services through this dedicated space. The clinic will run through existing hospital systems, with linkages to psychiatry, dermatology, endocrinology, and other departments when required.”

“This structure allows the government to start services immediately without needing new construction, new staff positions, or separate budget lines,” he added. “It is a practical and efficient first step, making the service accessible while keeping the doors open for: future budget allocations, specialized staffing, expansions into gender-affirming services, and strengthened infrastructure. The government’s intent is very clear: to ensure dignified, equitable, and discrimination-free healthcare for the transgender community. This order is a strong beginning, and operational details will continue to evolve through collaborative discussions between the government, hospitals, and People for Change.”

Saha acknowledged that taboos, misinformation, and stereotypes about the trans community persist in Jharkhand and in many other states. However, Saha said there are encouraging models at which to look. 

He pointed to Kerala and Chhattisgarh, which have introduced sensitization programs and begun integrating trans-inclusive practices into their public health systems. These examples, he noted, show that when health departments invest in training and awareness, attitudes shift and services become more respectful and accessible.

“In Jharkhand, People for Change has proposed a similar approach. We have formally recommended to the government that civil surgeons, chief medical officer, doctors, nurses, and other hospital staff be trained on gender sensitization and transgender health challenges. This includes understanding gender identity, psychological needs, respectful communication, medical protocols, and ways to ensure discrimination-free services,” said Saha. “The encouraging part is that these proposals are already being discussed in detail with the government of Jharkhand. The government has shown strong intent through the issuance of the transgender OPD order, and training health professionals is naturally the next crucial step.”

Saha noted that it remains unclear whether trans people will be recruited into government health roles, saying it is too early to make any definitive statement. He explained that recruitment requires separate processes, policies, and approvals, and the current order does not address new staffing or the creation of government positions.

A recent performance audit by the Comptroller and Auditor General of India, the constitutional authority responsible for auditing government spending and administration, outlined severe human-resource and medicine shortages across Jharkhand’s public health system. 

Tabled in the state assembly in February, the report found that about 61 percent of sanctioned posts for medical officers and specialists were vacant, along with more than half of all staff-nurse positions and roughly four-fifths of paramedic posts. The audit also documented acute shortages of essential drugs in the hospitals it reviewed, with stock gaps ranging from 65 to 95 percent during the 2020-2022 period. The findings highlight the systemic constraints that the new trans outpatients will have to navigate.

Saha acknowledged that drug shortages remain a serious issue in government hospitals and said the concern is valid. Even so, he added that he is approaching the new outpatient policy with hope and confidence.

“The government of Jharkhand has made a historic and intentional decision by opening dedicated transgender OPDs,” said Saha. “When a government takes such a strong step of recognition and inclusion, it also shows the readiness to understand the specific health challenges and medication needs of the transgender community.” 

“As more transgender persons start coming to the OPDs and their health requirements become clearer through proper documentation and reporting, we are confident that the state will make every effort to ensure that essential medicines are available for them,” he added.

Saha said People for Change is also seeking support outside the public system. The organization has begun briefing civic service groups — including Lions Club, Rotary Club and Inner Wheel, international volunteer organizations that run local welfare and health projects — on the outpatient order and the community’s needs. According to Saha, several of these groups have indicated they may help trans patients with medicines and other essentials when prescribed by a doctor.

“So the effort is two-fold: the government is creating an inclusive health system and will be informed of the community’s specific medicinal needs through the OPDs. People for Change and partners are strengthening the safety net to ensure that transgender persons are never left unsupported,” said Saha. “We truly believe that this collaborative approach will ensure that transgender individuals receive the medication and care they deserve — with dignity, consistency, and compassion.”

“Every hospital may take a slightly different amount of time depending on internal readiness, but overall: The foundational work is already underway, Hospitals have started preparing their designated OPD spaces, And coordination is happening at the level of civil surgeons, medical superintendents, and hospital management teams,” he added.

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