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This article investigates the impact of COVID-19 on the health and lived experiences of the transgender community in India. In particular, the study analyses how COVID-19 affects the lives of the transgender community in terms of their interaction with the government policymaking and identity negotiation, livelihoods, access to health resources, availability of gender transition services and status of mental health. The analysis shows that the COVID-19 pandemic and the government strategies to curb the spread of infection have exacerbated the challenges faced by the transgender community in India and threatened their survival. As disease outbreaks traditionally perpetuate gender inequities and increase vulnerabilities borne by marginalised groups, the analysis has implications for purposefully creating appropriate platforms for participation of the transgender community and designing and delivering suitable programs and services to enhance their welling and human dignity.