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National Center of Transgender Equality reported that 40 percent of people who identify as transgender have attempted suicide. An uncomfortable truth is in the Swedish study indicates suicide rates remain high even after sex-reassignment surgery. First what is transgenderism ?; you may ask. It is a state or condition in which a person’s identity does not conform unambiguously to conventional ideas of male or female gender. Which relates to Gender dysphoria which involves a conflict between a person’s physical or assigned gender and the gender with which he/she/they identify. In the ICD it is classified as a mental disorder by World Health Organization. Gender dysphoria (GD), or gender identity disorder (GID), is the distress a person experiences as a result of the sex and gender they were assigned at birth. … Gender dysphoria is classified as a disorder under dual role transvestism in the 2017 ICD-10 CM. GID was reclassified to gender dysphoria by the DSM-5.Ben Shapiro stated, “transgenderism is a mental illness because it’s gender dysphoria it’s a psychological disorder, you are not doing a service to people who suffer from a mental disorder to humor them by suggesting that their mental disorder is reflected in a objective reality”.  Transgenderism wants us to forget the fundamentals of biology and wants us to pretend they are someone they are not. However, we need to give medical attention to this matter.People with gender dysphoria may be very uncomfortable with the gender they were assigned, sometimes described as being uncomfortable with their body. In 2014 17-year-old Leelah Alcorn committed suicide. A young boy who jumped in front of a tractor-trailer despite their parent’s support of his gender identity. He killed himself because his parents asked to wait to start the transformation (sex change surgery). They wouldn’t agree to pay for it until he was 18.  A study’s from Sweden a year earlier stated: “90 % transgenders have mental disorders consisting of depression and anxiety are known causes of suicide”. Also declares even after gender surgery makes no difference they still have the same high rates of suicide and is not the solution to depression and anxiety. So the argument here is that without expensive surgery, social acceptance, discrimination from no one, and open bathroom access, transgenders will never be comfortable with their bodies. But transgenders are at a high rate of suicide and it is unjust if we do not provide available treatment for this. Furthermore, if transgenders require medical treatment it is insisted to be treated or it will be fatal.             The other disagreement is that the suicide rate is blamed on rejection, discrimination, and harassment. There are 2 problems with this assumption first they are ignoring that transgender individuals are mentally ill. The second error is that discrimination doesn’t hold up with this theory. Suicide does not line up when compared to other minority groups who suffer more bigotry and racist remarks. In contrast, black people have the lowest suicide rate among all ethnicities. If discrimination was a factor for high suicide rates, you would expect for African- Americans to have a higher suicide rate. Mental illness, on the other hand, is a big factor for suicide, and we need to treat this before it gets out of hand.         People think the best option is just to accept them so they can feel less depressed. But the UCLA Anderson study proposes that suicide rates remained high even when family members and friends are supported and accept them. Even though if they were open about their transgenderism or born from a wealthy upper class it didn’t make a difference. A cure for this is very troubling but we need to have more resources to help find a working solution. The illusion of being the wrong sex, or in the wrong biological body needs to be felt for several years before a definitive diagnosis is made. However, the feelings of depression and isolation which often accompany this diagnoses should not go unchecked or unrecognized.***We need to stop from delusional parents to teach or to be okay with changing their kid’s biological Anatomy and to pretend they are something they’re not. We could start by having more organizations, and media help create awareness of this problem. Role models could be a big factor in influencing the youth about this ramification.          We need to create more suicide prevention strategies and increase protective factors to fight this high rate of suicide. Family therapy for children and talk therapy for adults can be a very important tool. The list goes on you could have individual child psychotherapy parental support, or counseling, group work for young people and their parents, and regular reviews to monitor gender identity development. Individual therapy can help a person cope with the distress and conflict. Couples therapy or family therapy may be helpful to improve understanding and come to an agreement. Parents of children with gender dysphoria may also benefit from counseling. Other sources are helpline services, clinical services, information and referral services, Email peer counseling, crisis intervention and online materials.    If so far none of them help your loved ones still and show depression and high risk of suicide you could go to hormone therapy. First, because the cost is $1500 contrasting to $20,000-100,000 and most can’t afford gender surgery. Transgender hormone therapy, also sometimes called cross-sex hormone therapy, is a form of hormone replacement therapy in which sex hormones and other hormonal medications are administered to transgender or gender variant individuals for the purpose of more closely aligning their secondary sexual characteristics. So if they feel if nothing is going to help or can’t afford the surgery they should do cross-gender hormone therapy for transwomen may include three different kinds of medicines: estrogen, testosterone blockers, and progesterone. It causes the physical changes of transition, as well as many of the emotional changes.As human beings, we are all confused about who we are. Some disappointed in who we are but don’t let this misconception make you think to change your identity can change your problems. When they start to put some thought into their experience of confusion or depression that is when it becomes perception rather than true reality. They see a world where they don’t fit or they were born in the wrong body and see reality in a different matter. We don’t blame them as gender dysphoria is classified as a disorder they need to seek medical attention and we should help them, yet if they don’t see it as a medical condition then it’s no one obligation to help them and they have no obligation to demand rights just because they have a different sense of reality. Ben Shapiro exclaimed,” If you’re going to dictate to me that I’m supposed to pretend, I’m supposed to pretend that men are women and women are men, no. My answer is no. I’m not going to- I’m not going to modify basic biology because it threatens your subjective sense of what you are. Lastly, Suicide rate and suicidal tendencies among transgender persons are considerably high compared to general population. This essay is an attempt to understand the issues around the gender dysphoria and suicidal behavior among transgender persons.