“ Sex-change operations have been legal in Iran for more than two decades, ever since Ayatollah Ruhollah Khomeini issued a fatwa authorizing them for “diagnosed transsexuals.” As of 2008, Iran carried out the second-highest number of sex-change operations of any country, after Thailand. Many procedures are undergone by young gay men who fear imprisonment or death if they persist in seeking same-sex relationships. ”

An Islam cleric who performs the surgeries told the BBC that a sex change is no more sinful than turning wheat into flour into bread. (Whereas homosexuality is still a crime punishable by death. Go fig.)