The hijra(Transgender)community in Pakistan has a long history within the culture of the sub-continenet. Their roles have changed over the years, and with the current practices of commercial sex work among this group, they are at a great risk of both contracting and spreading many sexually transmitted diseases. Once held in high esteem, these caretakers of the king´s harem are now socially excluded from many mainstream social activities. The present study looks into the knowledge, attitudes and practices of this community regarding various sexually transmitted infections.