Abstract: Transgender women are globally ranked as a high risk population for their high HIV prevalence compared to other key population and 49 times higher than cisgender populations. Studies have cited many conditions and situations that contribute to these high HIV risks including stigmatization and discrimination and occlusion to access to universal health care. This study however aims to access the behavioral and sexual tendencies of the transgender women that predispose them to HIV risk. This paper informs on the sexual and behavioral risk factors predisposing the transgender women to a high HIV prevalence.