: Access to gender-affirming care remains inconsistent, though some state governments (such as Tamil Nadu and Kerala) have implemented welfare boards and specific insurance schemes to cover transition-related medical costs. Language and Terminology
: This act was passed to provide a legal framework for rights and welfare, though it has faced criticism from activists regarding the "certification" process required to officially change one's legal gender. india shemale
: Depending on the state, different local terms are used, such as Aravani in Tamil Nadu, Jogappa in Karnataka, or Kothi (though this often refers to feminine-presenting males). different local terms are used