Inequality and Violence: Members of the LGBT community are more vulnerable to intolerance, discrimination, harassment and even violence because of their sexual orientation. They face stigma, denied access to health care and pension benefits, among other forms of social protection. In India, members of the "hijra" community are regularly subjected to violence, including by the police.

Lack of Social Acceptance: Sexual minorities are not accepted even in their own families. They are often rejected or isolated from others. They often end up in the detention of young people. Young people who come out as gay or lesbian are often pressured to get married in order to "cure" them. They are also forced to undergo conversion therapy to turn around. Health Issues: Rejection and isolation can lead to mental health issues such as stress and low self-esteem.

This can lead to alcoholism and substance abuse. Lack of knowledge and access to healthcare often increases the risk of sexually transmitted diseases such as AIDS (e.g. 55% of all people living with HIV/AIDS in the United States in 2013 (PLWH)).

Political Under-Representation: Due to their low proportion, Sexual minorities feature low on the priority list of political parties. They have no political representation as they fail to get even the opportunity to contest due to social prejudice. This leads to absence of their perspective in legislation e.g., the Assisted Reproductive Technology (Regulation) Act, 2021 allows only heterosexual couples to use ARTs. Similarly Rights of Sexual Minorities are not covered under Maternity Benefits Act