This research aimed to understand the experiences of transgender people in Bogota in relation to the health care services providers. The critical discourse analysis approach within the framework of the qualitative method was applied. Four transgender people: two men and two women, and four mental health professionals-three psychologists and one psychiatrist participated in the analysis. Two types of in-depth interviews were used as instruments for collecting data. As results of the research, it was found a tense and conflicting relationship between transsexuals and health care services and the paradoxical and strategic role of pathologization in Colombia.