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Justice KS Radhakrishnan noted in his decision that, "Seldom, our society realizes or cares to realize the trauma, agony and pain which the members of Transgender community undergo, nor appreciates the innate feelings of the members of the Transgender community, especially of those whose mind and body disown their biological sex", adding: Non-recognition of the identity of Hijras/transgender persons denies them equal protection of law, thereby leaving them extremely vulnerable to harassment, violence and sexual assault in public spaces, at home and in jail, also by the police.
Many countries now legally recognise sex reassignments by permitting a change of legal gender on an individual's birth certificate.
The Constitution of South Africa forbids discrimination on the basis of sex, gender and sexual orientation (amongst other grounds).
The Constitutional Court has indicated that "sexual orientation" includes transsexuality.
Many transsexual people have permanent surgery to change their body, sexual reassignment surgery (SRS) or semi-permanently change their body by hormonal means, hormone replacement therapy (HRT).
In many countries, some of these modifications are required for legal recognition.
There is now a greater understanding of the breadth of variation outside the typical categories of "man" and "woman", and many self-descriptions are now entering the literature, including pangender, genderqueer, polygender, and agender.