Official statistics for 2007 put the number of transsexuals in Iran between 15,000 and 20,000 people, with unofficial estimates suggesting many more -- up to 150,000, the reports.In a country where same-sex relationships are punishable by execution, sex-changing surgeries may mean the difference between life and death.

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Iranian-born filmmaker Tanaz Eshaghian, who brought attention to Iran’s transgender community in her award-winning 2008 documentary film, “Be Like Others,” illustrates the logic behind the law. Ali Askar, a male-to-female who underwent surgery, told the BBC, “If I didn't have to operate, I wouldn't do it.

In one scene of the film, a Muslim cleric explains how Islam supports sex-change surgery. Because it does not specifically state that sex change is a sin, therefore, we cannot call it a sin.” Yet while the freedom to change sex might come as a relief to some, Eshaghian also draws attention to the pressure felt by gay men and women in Iran to have sexual reassignment surgeries as a means of legitimizing their sexual orientation.

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