BACKGROUND:In DSM-5Gender dysphoria defined as marked in congruence between one’s experienced/expressed gender and assigned gender. It often accompanied by dissatisfaction with physical appearance and body image problems, go beyond sex characteristics .An in congruent physical appearance may result in more difficult psychological adaptation and in more exposure to discrimination and stigmatization.. Several preliminary studies have shown benefits of hormone treatment and gender affirming surgery. However the impact of gender affirming treatment is lacking, hence this study tries to reveal impact of gender affirmity treatment method.AIMS:1. To identify impact of gender affirmity treatment (both medical and surgical) in gender congruence ,body satisfaction in our transgender populationMETHOD:83 transgender people(both male to female & female to male) who attend transgender op in Govt.Rajaji hospital, Madurai without psychiatric illness, substance abuse were taken to the study, In which 43 were received gender affirmity treatment (both medical & surgical), and 40 were not yet received treatment. Transgender congruence scale, Body image scale, Gender congruence and life satisfaction scale, WHO Quality of life scale, Presumptive stressful life event scale were administered to both groups.RESULTSThere is significant of improvement in gender congruence, body image, quality of life after gender affirmity treatment.CONCLUSIONGender affirmity treatment improves gender congruence, body image in transgenders.