Transgender is an umbrella term that emerged in the early 2000s during the transnational funding for the prevention of HIV/AIDS in India and became representative of many forms and subcultures of gender non-conforming identities. The plight of Hijra/ Kinnar, a region-specific socio-cultural group present in north India finds its mention in the history of India when during British rule the categorization and understanding of the Hijra within the medico-legal framework altered how the Hijra body was looked at. It also mapped the ways in which how gender and sexuality were to be looked at in the Indian colony. Depending upon one’s social position in society and the discourses available at hand, the health outcomes and the lived experiences of transgender people vary significantly. In the case of India, Transgender health outcomes are also shaped by the interaction of multiple identities of a transgender person (gender, caste, class, sexual orientation) with the co-existing and overlapping structures of domination in the form of prejudiced and discriminatory institutions such as law, healthcare, and family, where the historical baggage of colonialism, the hegemony of cis-genderism and heteronormativity remain salient. By using in-depth interviews, observation methods, and incorporating the intersectionality framework, the paper explores the interaction of these overlapping structures with transgender individuals in their day-to-day lives and how this interaction results in varied health outcomes. health outcomes.