The promise of an affordable gender reassignment surgery has given hope (Source: Getty Images/Thinkstock)
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Transgender people get first clinic in Delhi: ‘It’s a safe place and helps us with cheaper transition surgeries’
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In a black and white striped dress and two-inch heels, 26-year-old Leela wove her way through a corridor full of women in sarees and salwar kameez at the OPD block of Dr Ram Manohar Lohia Hospital in Delhi. She was headed to the consultation room of the city’s first transgender clinic at a government-run hospital for a laser hair removal procedure that’s part of her feminisation process and body transition. “Not only is this a safe place to discuss therapies, there is acknowledgement for my kind and services that I can afford. This small step takes away a giant stigma,” she said.
Located in the extreme left side of the hospital’s OPD block, she rushed to the clinic on its opening day on Friday for the procedure. However, she was disappointed to find out that the machine for the procedure was awaiting installation. But she was happy to know that she could get the right guidance on hormone replacement therapies. “There are no dedicated clinics for transgendered people in private hospitals, let alone government ones. Wherever we go, we have to queue up with everyone else and attract attention. It can get very uncomfortable. This clinic means the world to people like us who are forging our identity amid challenges,” she says.
The transgender clinic has three doctors sharing a consultation room, where they will counsel transitioning patients and advise them on procedures. The hospital intends to offer cosmetic procedures like laser hair removal, gender reassignment surgeries, breast reductions and hysterectomy. For the time being, these will be done at existing speciality clinics. Apart from these, doctors will also treat common medical conditions like backache that some patients came in with on opening day. “The idea is to help them open up and give them proper medical care. To us every person is a human body that deserves to be taken care of. And transgendered people can do that here without fear of being scorned,” said one of the doctors.
For 34-year-old Keshav, the transgender clinic at RML is “a gift from God.” Born a woman, he will finally be able to get the surgery to remove his uterus for which he has been saving up for years. “I got my breast removed a couple of years ago. The private hospital initially asked for Rs 1.5 lakh that I couldn’t afford. They finally agreed to do it for Rs 60,000. I had to draw on my savings and take a loan,” said Keshav, who is hoping transition will change the way people judge his life with his girlfriend. The social scrutiny was one of the reasons the couple moved to a flat in West Delhi, far away from the prying eyes of their family in Gurugram. “I earn Rs 18,000 a month. I have to pay the EMI and spend Rs 3,400-3,600 for the ten hormone injections I take every month. And, the cost just keeps going up. How can I save up for the hysterectomy then? I hope I will be able to get the hormone injections and the surgery at a minimum cost. At least the government has thought about our community when we are used to getting ignored by everyone,” he said.
The promise of an affordable gender reassignment surgery has given hope to the likes of Muskan Nazz, who works in human resources at an IT firm, and has been delaying her physical transformation. “While I am blessed to have a good education and a decent job that can pay for the hormone replacement therapy, even I cannot afford the nearly Rs 7 to 6 lakh needed for a sex reassignment surgery. And sometimes you need to do it in phases, with the cumulative bill mounting,” she said, her animated eyes visible through her yellow head scarf that she had covered up her face with. Once she transitions, she plans to come out to her parents, who live in Bihar.
The clinic’s gender-neutral washroom was a huge draw for patients. “This matters so much. I was passed over for a job at a start-up when I asked them if they had a provision for a separate washroom for transgendered people,” added Nazz.
The first day saw 30 people seek consultation on skin enhancement and hormone replacement therapy. But all of them are now hoping that they have a dedicated section for speciality services as well. “If they have created a dedicated facility for transgendered people, shouldn’t all the services be available around it? Right now, we have to queue outside these different clinics and at the pharmacy. With several trans people around, we have had everyone gawking at us throughout the day,” said another woman, who did not wish to be named.
Anonna Dutt is a Principal Correspondent who writes primarily on health at the Indian Express. She reports on myriad topics ranging from the growing burden of non-communicable diseases such as diabetes and hypertension to the problems with pervasive infectious conditions. She reported on the government’s management of the Covid-19 pandemic and closely followed the vaccination programme.
Her stories have resulted in the city government investing in high-end tests for the poor and acknowledging errors in their official reports.
Dutt also takes a keen interest in the country’s space programme and has written on key missions like Chandrayaan 2 and 3, Aditya L1, and Gaganyaan.
She was among the first batch of eleven media fellows with RBM Partnership to End Malaria. She was also selected to participate in the short-term programme on early childhood reporting at Columbia University’s Dart Centre. Dutt has a Bachelor’s Degree from the Symbiosis Institute of Media and Communication, Pune and a PG Diploma from the Asian College of Journalism, Chennai. She started her reporting career with the Hindustan Times.
When not at work, she tries to appease the Duolingo owl with her French skills and sometimes takes to the dance floor. ... Read More