In our society having sexual relationship with same sex is considered to be abnormal. These behaviors are seen in society as immoral, dirty and unnatural. As a result they tend to be more vulnerable to sexually transmitted infections including HIV/AIDS and a host of psychosexual problems. Counselling therefore becomes an important aspect of any sexual health intervention programme specifically if it is designed for vulnerable groups.

Often health care providers rarely had the opportunity to understand the sexual diversities and to be educated about the health issues of sexual minorities. Keeping that in mind, this handbook has been compiled to provide basic but essential information on men who have sex with men (MSM) in Gujarat. This handbook is expected to increase the knowledge and enhance the skills of doctors/counselors, psychologists and social workers on the Counselling issues of MSM that will ultimately lead to improvement in the quality of services available to MSM in the clinical and counseling settings.