Is it permissible for a person who was born with female characteristics but suffers from mixed genitalia, male inclinations, and high male hormones, and does not accept their female identity, in addition to the fact that the use of female hormones threatens their health with blindness and paralysis, to undergo a surgical operation to remove the female organs and live as a male?
Do not worry, for this is a trial for which you will be rewarded. The fundamental principle regarding sex reassignment surgeries is prohibition, unless examinations prove that the person's reproductive system is female while outwardly appearing male, or vice versa, in which case the surgery is permissible.
Summarized from the full answer at Ftawy · reviewed Sep 2, 2026
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