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Letter to Editor
2026
:1;
2
doi:
10.25259/JTHGAC_2_2026

Let Trans Voices Lead: India Needs Inclusive Policymaking

Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Department of Reproductive Biology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
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Corresponding author: Dr. Vandana Kapoor, Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India. kapoorvandana353@gmail.com
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This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Kapoor V, Dixit V, Tanwar NS. Let Trans Voices Lead—India Needs Inclusive Policymaking. J Transgender Health Gender-Affirm Care 2026;1:2. doi: 10.25259/JTHGAC_2_2026

Dear Editor,

In recent years, India has made significant strides toward recognizing the rights of transgender individuals, thanks to landmark judgments like the National Legal Services Authority (NALSA) verdict, the Transgender Persons (Protection of Rights) Act, 2019, and guidelines issued by the Directorate General of Health Services, Government of India. However, a critical gap remains in how policies for the transgender community are formulated, how the 2019 act is implemented, and how the state-level policies are made, often without the meaningful participation of community individuals themselves.

A concerning trend in Indian policymaking is the tendency to borrow frameworks from Western discourses on gender and sexuality, assuming that the challenges faced by transgender individuals globally mirror those in India.1,2,3 While solidarity with global LGBTQ+ movements is important, we must recognize that the socio-cultural realities of Indian transgender persons, such as the historical presence of hijras, the role of guru-chela traditions, and caste-based marginalization, are unique. Imposing foreign narratives without contextual understanding risks erasing these lived experiences.

Moreover, policies meant for transgender welfare are frequently designed by cisgender individuals, with little to no representation from the community itself. How can we claim to address their needs when they are excluded from decision-making tables? True inclusivity requires that transgender individuals not only be beneficiaries of policies but also active architects of them. Their voices must lead discussions on healthcare, employment, education, and legal protections, not just be an afterthought in cisgender-dominated dialogues. Transgender individuals must be active participants in advisory boards and committees involved in drafting these guidelines, which can be ensured by reserving a mandatory transgender position on the decision-making boards.

Call to action: It is time for systemic change. Policymakers must mandate transgender representation in drafting committees and consult grassroots transgender-led organizations. Media must amplify trans voices rather than speaking over them. Civil society and allies must push for reserved seats for transgender individuals in local governance and policy bodies, ensuring their autonomy in decisions that affect their lives. It is also important to develop new and strengthen existing patient support groups to help their families connect and cope with their struggles. Let us move beyond symbolic gestures and create an India-specific, trans-inclusive framework, one designed by trans people, for trans people.

Author contributions:

VD: Draft preparation; VK and NST: Editing.

Ethical approval:

Institutional Review Board approval is not required.

Declaration of patient consent:

Patient’s consent not required as there are no patients in this study.

Conflicts of interest:

There are no conflicts of interest.

Use of artificial intelligence (AI)-assisted technology for manuscript preparation:

The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript, and no images were manipulated using AI.

Financial support and sponsorship: Nil

References

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