This policy draft addresses the pressing issue of healthcare accessibility for transgender and gender-diverse populations, focusing specifically on improving access to Gender Affirmative Surgeries (‘GAS’). Despite global efforts towards achieving Sustainable Development Goals and Universal Health Coverage, transgender individuals continue to face significant barriers in accessing essential healthcare services. The proposed policy examines initiatives undertaken by select G20 member countries to enhance accessibility to GAS and reduce health inequalities within the transgender community. It primarily advocates for the implementation of targeted strategies to subsidise GAS procedures under the framework of the right to health, aiming to ensure equitable access to gender-affirming healthcare services for all transgender individuals.