that the majority of respondent who are on hormone replacement therapy or had previously on hormone replacement therapy would not have prior medical advice on the doses intake and the potential side effects of it. 183. The likely increased risk and possible increased risk of hormone therapy comprised of cardiovascular, lipids, liver, hypertension, weight gain, psychiatric, breast cancer, cervical cancer and others123. According to the respondents, the side effects of taking hormones to them as shows in the table 33. There were 47 respondents that experienced weight gain and followed by 43 respondents were “emotional unstable” and the third higher side effect was high blood pressure. It was alarming to record that 8 respondents experienced cardiovascular problem as side effect of hormone taking. Table 33: The side effects of taking hormone Item Frequency 1. Weight gain 47/86 2. “Emotionally unstable” 43/86 3. High blood pressure 15/86 4. Cardiovascular problem 8/86 5. Low blood pressure 3/86 6. Kidney problem 1/86 7. Headache 1/86 8. Feeling of coldness 1/86 9. Dry skin 1/86 Note: Frequency means number of respondent 184. Due to the lacking of gender assignment surgery or procedures in Malaysia, respondents had opted to perform these surgery or procedures at neighbouring country – Thailand. During the interview, it was revealed that 41 respondents had undergone gender affirmation surgery or procedures which includes breasts augmentation, chondrolaryngoplasty, genitoplasty, chest reconstruction surgeries and etc. Out of 41 respondents, 33 had not experienced any complication due to the surgery and 8 (6 trans women and 2 trans men) of them experienced the following complications: i. ii. iii. iv. Bacteria infection Breast hardening and pain Difficult urination Cannot perform heavy work 123 7th version of the Standards of Care for the Health of Transsexual, Transgender. P.97-103 80 | Report On Transgender Persons In KL And Selangor