The Act acknowledges “intersex variations” such as hijra, eunuch, kinnar, aravani and other transcommunities that exist in India, but it fails to clearly define “transgender”. Dr Shaikh, who has worked on the health rights of the transpeople, claims the Act arbitrarily clubs all shades of transidentity under the “transgender” umbrella. While the gender identity of transgender people is different from the assigned sex at birth, “intersex variants” are based on biological features and don’t need surgery. The Act, however, has led to a rise in the number of unnecessary surgeries being performed on intersex children, to get a conversion card.