HIV stigma has been theorized to impact the likelihood of people living with HIV to utilize medical care. To determine associations between various forms of HIV stigma (internalized, experienced, and perceived), gender, and medical care utilization, we conducted a survey of 150 people living with HIV in Hyderabad, India, including 49 cisgender men, 50 cis-gender women, and 51 third gender people). Internalized HIV stigma was negatively associated with medical care utilization, as measured by hospitalized nights (b = −0.20, p = 0.04) and emergency room visits (b = −0.22, p = 0.02). Perceived HIV stigma was negatively associated with emergency room visits (b = −0.24, p = 0.04) and with reduced odds of utilizing any medical care services in the past year (aOR = 0.15; 95% CI [0.03 – 0.27]). Third gender people were more likely to have been hospitalized (b = 1.29, p < 0.01) and to have visited the emergency room (b = 1.80, p < 0.001), and were more likely to have utilized any form of medical care in the past year (aOR = 3.44; 95% CI = 1.15–10.25). While third gender participants had higher levels of internalized stigma compared to cis-gender men, they were more likely to have utilized various forms of medical care. Findings ultimately suggest that medical care services for third gender people living with HIV (PLWH) are well utilized and that the third gender community in Hyderabad exhibits resilience against experiences of HIV stigma.