In 2019, Tamil Nadu became the second State in the country, after Kerala, to set up a clinic exclusively for the transgender people at the RGGGH (Rajiv Gandhi Government General Hospital), Chennai.
Later, at Government Rajaji Hospital in Madurai, it offered free gender affirmation surgeries.
In addition to the clinics in Chennai and Madurai, 10 other gender clinics have also been established in various districts across the State — including Salem, Coimbatore, Tiruchi, Villupuram, Vellore, Dharmapuri, and Thanjavur.
As of 2024, the hospital has performed 171 gender affirmation surgeries for the transmen and women.
Trans people aged 18 and above are eligible for surgery.