Hematol Transfus Int J 2016, 2(4): 00044 According to the findings of the Survey of National Transgender Discrimination, 19% had been refused medical care, 30% had been verbally or physically harassed while attempting to receive medical care, and 48% were unable to afford medical care [2] . At the same time as, lack of training or less training received by the medical health professionals in caring for transgender patients, and reliable information about complications and long-term outcomes of trangender patients are limited [3] .