There has been ongoing concern by MSM and transgender organisations that the transgender community in Asia and the Pacific has been ignored. At the request of transgender delegates at the 10th International Congress on AIDS in Asia and the Pacific held in Busan, Republic of Korea, and in line with contextualising implementation of the WHO global and regional guidance for HIV interventions among MSM and transgender people, the WHO Regional Office for the Western Pacific, in collaboration with APTN, UNDP, the Asia Pacific Coalition on Male Sexual Health (APCOM) and the WHO Regional Office for the South-East Asia Region, commissioned an assessment report on the state of transgender health in Asia and the Pacific. The assessment included current concerns related to HIV, STI and sexual health, as well as technical recommendations to WHO and Member States in the region.