With a population dividend of around 1.3 billion, India is the largest democracy in the world that encompasses “unity in diversity”. The kaleidoscope of the socio-cultural fabric comprises the transgender population too, which has a historical context dating back millennia and also plays a vital role as described in Hindu scriptures. The Indian transgender person‘s community shows a variety of gender identities and sexual orientations, which is unlikely from the West, forming a culturally unique gender group. In India, transgender persons were recognised as the ‘third gender’ in 2014. The third gender population of India is marginalised to a great extent in every sector. Often, transgender persons have been the subjects of sociology, psychology, and health issues. There was a dearth of data regarding their major health problems including bone health, which has not been reported in India and elsewhere before this study. Through a prospective cross-sectional study design, we aimed to determine the current health status of transgender persons with a special emphasis on bone health. Descriptive statistics were used for data analysis. The preliminary results of the study show poor bone health in the transgender population of India. The majority of transgender persons have low bone mineral density (BMD) at a much young age, even before the achievement of their peak bone mass. The health status of the transgender population in India is poor overall. Transgender persons have many impediments to optimal healthcare that requires holistic care. This study presents the current health challenges of the transgender population with a special emphasis on their bone health status as ‘AIIMS initiative’. This study also shows transgender persons human rights needs to be explicitly discussed. The stakeholders of social policies require an urgent attention to unfold the major concerns encompassing transgender persons.

印度拥有约13亿人口红利，是世界上最大的“多元一体”民主国家。社会文化结构的万花筒也包括跨性别人群，其历史背景可以追溯到几千年前，并且正如印度教经文中所描述的那样发挥着至关重要的作用。印度跨性别者群体表现出多种性别认同和性取向，这在西方是不可能的，形成了文化上独特的性别群体。在印度，2014年跨性别者被认定为“第三性别”。印度的第三性别人口在各个领域都在很大程度上被边缘化。跨性别者常常是社会学、心理学和健康问题的研究对象。关于他们的主要健康问题（包括骨骼健康）的数据缺乏，在这项研究之前，印度和其他地方还没有报道过这一问题。通过前瞻性横断面研究设计，我们旨在确定跨性别者当前的健康状况，特别关注骨骼健康。使用描述性统计进行数据分析。研究的初步结果显示，印度跨性别人群的骨骼健康状况不佳。大多数跨性别者在很小的时候骨矿物质密度 (BMD) 就较低，甚至在达到骨量峰值之前也是如此。印度跨性别人群的健康状况总体较差。跨性别者在获得最佳医疗保健方面存在许多障碍，需要整体护理。这项研究提出了跨性别人群当前的健康挑战，特别强调了“AIIMS 倡议”中他们的骨骼健康状况。这项研究还表明，需要明确讨论跨性别者的人权。社会政策的利益相关者需要紧急关注以解决跨性别者的主要问题。