'This report presents the analysis of survey research conducted in Nepal in the fall of 2013. First, a description of the survey design and data collection processes concerning the groups of people who might identify as sexual or gender minorities, and present analysis of the responses. .Then a demographic overview of a sample, with special attention to the identity, behaviour, and attraction elements of respondents reported. After that an examination of an important inflection point for LGBTI rights advocacy in Nepal – the provision of citizenship certificates listing a third gender option. .Also authors analyze key socio-economic indicators in the sample – including literacy and living situation, and educational attainment and enrollment. Authors then examine data collected about respondents’ relationships and discuss some of the reasons the sample may differ so drastically from what national data sets show, including potential ways to improve data collection on this subject in future studies. .At the end authors analyze data regarding access to HIV services, including knowledge of HIV, HIV testing behaviours and, for people living with HIV, sero status disclosure patterns, some treatment behaviours, and xperiences of HIV-related discrimination.'