The Covid-19 pandemic caused widespread, and often deeply damaging disruptions to the health, economic and social lives of millions of people across the world. But these impacts were not experienced equally. Transgender people – who were already subject to deep-rooted and persistent structural inequalities – found their pre-existing marginalisation exacerbated by the pandemic and related public health measures and suffered disproportionately. This report documents the experiences of transgender people in 15 countries in South, Southeast and East Asia, and the Pacific Islands during the Covid-19 pandemic.