Aim: To assess the oral health status and treatment needs of transgender people residing in Pune city, Maharashtra, India. Materials __ampersandsignamp; Methods: Transgenders for the pilot survey were selected who were present on the day of examination using the snowballing technique to assess the periodontal status, dentition status, prosthetic status, and needs in Pune city. 49 subjects were recruited for the examination who were willing to participate. The World Health Organization (WHO) oral health assessment form 1997 was modified to record the findings. Data were analyzed in terms of descriptive statistics using numbers, percentages, and mean values. Results: The majority of the eunuchs (57.1%) were having the habit of chewing smokeless tobacco-containing betel nut, quid, gutka, and lime whereas only 30.6% abstained from tobacco. Calculus was seen in 91.83% of the eunuchs and 89.7% were having or have had caries of the permanent dentition, 87.7% were with untreated caries and 55.1% were showing four or more Decayed Missing Filled Teeth. (DMFT) 40 subjects required one surface filling and 16 required pulp care. Conclusion: Poor oral health awareness and pernicious tobacco habits have influenced the oral health status and treatment needs of transgender people. Unmet dental treatment needs, which mainly included scaling, extraction, restoration, and pros thetic rehabilitation.