[1] The term is said to originate from Darjeeling, India where it means "to quench one's thirst," alluding to meti sexual interactions with males.
As of this Supreme Court ruling, metis are able to be officially recognized by the Nepalese government and able to have a government-issued ID card listing “both” as an option under “gender.
"[3][4] This also set a precedent of using self-determination as a source of proof in determining a person's eligibility in establishing a gender on government documents.
In 2004, 39 meti individuals were arrested and detained for "spreading perversion" and furthermore were unable to receive due process, as a result of the lack of LGBT support among Nepalese laws.
[7][3] As with issues of discrimination, the key to starting to solve the HIV epidemic among meti is making knowledge readily available and educating about safe-sex methods.