This report was made completely on the basis of the Protocol of the national report on the violation of human rights of gay men, other MSM and trans people, in particular the right to health, within the ECOM regional program «Right to Health», prepared by the Eurasian Coalition on Male Health, with the purpose to describe the situation with the human rights of gay men, other MSM, and trans people, in particular the right to health in the national context of the Republic of North Macedonia in 2018.