Currently, Brazil is in the first places in the ranking of countries where the LGBT population, especially transvestites and trans women - particularly black women - suffer serious violations of human rights, for having more than one type of colonial oppression in their bodies, mainly regarding access to health services. The main objective of the present study is to understand, from an intersectional point of view, how their access to health services is configured, taking into account how these women, as people in extreme social risk, seek the effectiveness of their rights, for through survival strategies. The discussion of the aforementioned study is based on the theoretical currents of decolonial feminism, intersectionality and transfeminism, by apprehending that this theoretical path would allow us to contemplate the speeches of women so invisible by the process of coloniality of power and gender that remains until the present day. Assuming that the existence of a national policy for comprehensive health care for the LGBT population is not a guarantee of access to health services for trans women and black transvestites, it is demonstrated through the difficulty they have in accessing health services, due to to discrimination. We used as a methodological technique the focus group with 6 trans women and black transvestites, in order to value their historicity, the meanings/senses they attribute to their experiences, feelings, experiences, beliefs, etc., in the access to public health services. At the end of the study, it was possible to see that the National Policy for Integral Health,LGBT, is something that is not effectively present in the daily reality of these women s lives, considering that when they try to access health services, they are not served within the complexity of their plural experiences, but rather yes, through a segregating reductionist logic, which reproduces more social invisibility.