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When is it permissible to do a sex-change operation from male to female or vice versa?

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Question What is the ruling on sex change operations (gender reassignment surgery) in the case of necessity? For example, if a child is born and has genitalia that does not match his gender, and it is possible to surgically reconstruct it? What is the ruling if this child grows up and becomes transgendered, and thus cannot get married, and this is on the basis of medical evidence on which the doctors are agreed, but social standards reject this surgery, and this sex-change operation is for the sake of medical treatment? Answer Praise be to Allah. Firstly: It is not possible for anyone, no matter who he is, to change the creation of Allah, may He be exalted, from male to female or vice versa. Whoever Allah, may He be exalted, has created as a male can never become a female who menstruates and gives birth! Yes, the doctors may tamper with him to satisfy his perversion so that he will think that he has become a woman, but he will never be truly female and will live in a st...

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