This is the sixth edition of the Policy Review on LGBTQI+ rights – the latest publication from the National Democratic Institute (NDI) Nepal. The Policy Review is an initiative of the five-year USAID funded ‘Niti Sambad’ (‘Policy Dialogue’) project. Niti Sambad contributes to USAID/ Nepal’s goal of helping to advance a more democratic and resilient Nepal by helping to support democratic institutions and strengthening political, social and economic inclusion. This Policy document explores the human rights of the LGBTQI+ community and access to key services such as education, employment, and health care, and concludes that the pervasive discrimination and exclusion they receive prevents members of this community from being meaningfully included in wider Nepali society.