Background: Despite global focus on diversity, transgender inclusivity in Malaysian healthcare organizations is limited due to cultural, religious, and legal barriers. This study examines hiring managers’ willingness to hire transgender individuals and investigates organizational readiness, current inclusion practices, and challenges in establishing transgender-inclusive policies. Methods: A qualitative research design involved semi-structured interviews with seven hiring managers engaged in recruitment and talent management. Data were collected through purposive sampling and analyzed via thematic analysis to uncover recurring patterns and managerial perspectives. Results: The findings reveal inadequate organizational readiness for transgender inclusion, attributed to a lack of formal policies, insufficient awareness and training, cultural resistance, and ambiguity regarding legal protections. Although many participants personally support inclusive employment, they doubt their organizations' ability to implement such changes and cite societal reluctance as a major obstacle. Conclusion: The study provides empirical insights into transgender inclusion in Malaysia's healthcare sector, highlighting the necessity for comprehensive inclusion policies, targeted awareness initiatives, and proactive leadership engagement to foster sustainable workplace practices.
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