"Ed Welch says that all counseling is a variation on a single theme: knowing and praying for the counselee. Of all the questions the counselor might ask, then, the central guiding question in the counselor's mind is, "How can I pray for you?"

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According to the norms of the hijras community, it's not necessary that one be castrated. Castration is your choice. If you do it, testosterone doesn't build up, femininity comes, but I have always said that castration is not the right way. A person should go for complete sexual reassignment surgery, hormone therapy, psychological counseling.

— Laxmi Narayan Tripathi