While people can legally change their assigned sex, sexual activity between members of the same sex is illegal and can be punishable by up to death. LGBT rights in Iran have come in conflict with the penal code since the s. Same-sex sexual activities are punishable by imprisonment,  corporal punishment , or execution. The government of Iran is considered to be one of the most discriminatory towards homosexuals in the world.
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Homosexuals in Iran are having sex reassignment surgery to avoid execution According to reports within Iran, the country has around 4, sex reassignment surgeries every year, in an attempt to purge homosexuality from the Islamic Republic. Life for gay men in Iran continues to be a psychological nightmare. In the Islamic Republic, homosexuality is illegal and punishments usually range anywhere from torture to public executions. According to various reports within Iran , there are about gender reassignment surgeries every year, though Amin believes the real numbers are even higher. Following said surgery, the person if often shunned by both the country and their families, leaving them with no one to support them, which in turn often leads to a life of sex work and violence. There is no physiological support after the surgery. It is motivated by a desire to eradicate homosexuality and enforce traditional male and female gender norms.
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Iran is one of a handful of countries where homosexual acts are punishable by death. Clerics do, however accept the idea that a person may be trapped in a body of the wrong sex. So homosexuals can be pushed into having gender reassignment surgery - and to avoid it many flee the country. Growing up in Iran, Donya kept her hair shaved or short, and wore caps instead of headscarves. She went to a doctor for help to stop her period.