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  1. In Rajiv Gandhi govt general hospital, Chennai, transgenders opting for reconstructive surgery face lot of hardships. Surgical endocrinology Out patient department ,room 23, is run by qualified doctors, viz: M.CH endocrinology. But the corresponding medical wing is run by M.D. degree holders. This violates Medical council of India and Indian constitution. Hormone injections not supplied. Plastic surgeons and endo surgeons blame each other and avoid surgery on trans genders