She faced family rejection and job denials: How Telangana trans woman earned her MD

After years of poverty, family rejection and hiring bias, Koyyala Ruth John Paul has completed her postgraduate degree in emergency medicine in Hyderabad. Her journey, aided by a Telangana High Court order, underscores the barriers transgender candidates still face in medical education and work.She faced family rejection and job denials: How Telangana trans woman earned her MD (Image: Facebook/Mitr Clinic - Hyderabad)New Delhi,Oct 12, 2026 13:19 ISTOvercoming financial hardship, family rejection and workplace discrimination, Koyyala Ruth John Paul, a transgender woman from Telangana’s Khammam district, has completed her postgraduate degree in emergency medicine at the Employees’ State Insurance Corporation (ESIC) Medical College and Hospital in Hyderabad.Ruth lost her father at a young age, while her mother worked as a daily-wage labourer to support the family. Despite these hardships, she excelled academically and consistently topped her class until Class 12.Recognising her academic potential, she secured free admission to Classes 11 and 12, along with free coaching for the National Eligibility-cum-Entrance Test (NEET). She later pursued an MBBS degree at a private medical college in Hyderabad.FAMILY REJECTION AND WORKPLACE DISCRIMINATIONRuth came out as transgender at the age of 20, while pursuing her third year of MBBS. Her family rejected her and asked her not to return home. Despite completing her medical degree, she struggled to find employment, with several hospitals reportedly turning her away because of her gender identity. She eventually began working at an NGO-run clinic before securing a position as a medical officer at the state-run Osmania General Hospital in 2022. Witnessing the social exclusion faced by many transgender people, Ruth was determined to become financially independent and build a career in medicine.HIGH COURT INTERVENTION ENABLES HER TO PURSUE POSTGRADUATE MEDICINERuth faced further challenges while seeking admission to a postgraduate medical course, as there were no clear guidelines for accommodating transgender candidates. She approached the Telangana High Court and received a favourable order that enabled her to pursue postgraduate medical education. She also raised concerns about the categorisation of transgender candidates during the admission process. Although she identifies as a woman, Ruth decided to challenge the issue rather than overlook what she considered discriminatory treatment.Ruth has urged society to end discrimination against transgender people and ensure they have equal opportunities to pursue their ambitions. She believes that people should be recognised for their hard work and abilities, irrespective of their gender identity.(With inputs from PTI)- Ends