"The practice is believed to have started in China, where at the end of the Ming dynasty, there were as many as 70,000 eunuchs in the grand palace.1 Hijra is an umbrella term used for those men, who are transgender, eunuch, transvestites, hermaphrodites or intersexed, bisexuals or homosexuals.2,3 However, a great number of hijras are men, who identify themselves as feminine than masculine, mostly b" . . . .