Efrat Anne Tilma (Hebrew: אפרת טילמה; born 1947) is an Israeli transgender activist and the first trans woman to volunteer in the Israel Police.

[1] In 1967, Tilma underwent gender reassignment surgery in Casablanca, Morocco, due to the procedure being illegal in Israel at the time.

She subsequently had to undergo physical examinations by the Israeli Ministry of Interior in order to have her official paperwork changed to reflect her new gender identity.

[2] Between 2010 and 2012, there were several publicized incidents in Israel wherein police officers mistreated transgender sex workers, including by referring to them as the wrong gender.

[2] That same year, Tilma was among a group of people who met then-President Reuben Rivlin at an event commemorating LGBT members of the Israel Police and the Israeli Defense Forces.