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Fatwa Ali al-Husayni al-Sistani – Iraq

Mufti: Ali al-Husayni al-Sistani
Is it allowed to change one’s sex from male to female?
Fiqh Rule:
It is permitted to undergo such surgeries in cases where individuals are afflicted with a biological condition and require medical treatment for it. However, individuals who experience a mental illness such as gender identity disorder are not permitted to undergo these surgeries. Therefore, it is advisable to encourage them to pursue mental therapy instead.

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