At a party in Peshawar, the guests' saris twirled as they danced to the music and fed each other pieces of cake, but armed police guarding the door indicated this was no normal carefree birthday gathering.
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In much of Pakistan, transgender people are shunned by their families and forced into begging or prostitution to support themselves. Most change their names or use only one name.
However, in recent years there has slowly been greater recognition of their rights.
This month, a court ruled that transgender people would be counted in the national census for the first time. In 2012, the Supreme Court declared equal rights for transgender citizens. A year earlier they were allowed to vote.
But activists say they have a long way to go before they attain full rights and freedom from persecution.