Malaysia was one of the Asian countries polled with the least acceptance, in front of only Indonesia and Pakistan with 3% and 2%, respectively.

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Seksualiti Merdeka, meaning "Independent Sexuality", is an annual festival consisting of talks, performances, screenings, workshops, and forums to promote sexuality rights as a human right, to empower marginalised individuals and communities, and to create platforms for advocacy.

Besides organising the programmes of this annual festival, members of this coalition are also involved in letter-writing campaigns, organising regular film screenings and discussions, academic advocacy and training of trainers.

Although the Government has attempted to prevent these events from happening since 2011.

The groups involved in Seksualiti Merdeka have also on their own advocated for the rights of LGBT within the framework of human rights advocacy.

In 1998, Anwar Ibrahim was charged with corruption and sodomy.

In 2000, he was sentenced to nine years for engaging in sodomy with his 19-year-old male chauffeur and his former male speech writer.Due to the lack of a mention of gender dysphoria and the lack of medical evidence for a state legal adviser's claim that transgender people were insane, the court unanimously declared the anti-cross-dressing Sharia law as void and violating the constitutional right of "freedom of expression, movement and the right to live in dignity and equality".On 8 October 2015, the Federal Court of Malaysia overturned the ruling on procedural grounds.However, he was released on bail and won the campaign for his former seat in Parliament, and currently leads the opposition in Parliament.In the beginning of 2015, Anwar was arrested again and is currently serving a five-year prison sentence.Human Rights Watch states that "Discrimination against lesbian, gay, bisexual, and transgender (LGBT) people is pervasive in Malaysia" Malaysia retains its colonial era criminal ban on sodomy (as well as oral sex), broadly defined to include both heterosexual and homosexual acts, with possible punishment including fines, prison sentences of up to twenty years, and even corporal punishment.