If the genes of the person confirm his or her gender, but they look like a different gender, then it is allowed for them to seek medical help to make their original gender more clear in their body.
No one is allowed to change his or her original gender confirmed by their genes.
It is not allowed to touch non Mahram but only in emergency like life saving or medical emergency etc.
Touching other gender does not invalidate Wudhu, despite of the opinion of Shaafi’ee sect that it invalidates. Their opinion is based on misunderstanding the Quranic verse أو لا مستم النساء. Even most of Sunni scholars do not accept the opinion of Shafi’ee sect in this matter.
Gender transition is not allowed when it means a male trying to become a female or a female trying to become a male just for desire.
If a person is really female in her chromosomes and body but has some abnormal male signs in her body , she can then remove the abnormalities and become full female. Same with a male who is male in his chromosomes and body but has abnormal female signs, he can remove that abnormalities and become perfect male.
Rectification which makes the person remove any abnormality is allowed but changing the gender is not allowed.
It must be mentioned that such operations must not allow unlawful looking or touching.
Examining and doing medical procedures while studying to become a registered nurse or a doctor, being a part of the training required to reach that position is absolutely permitted.
Kindly refer to the following texts online:
- A Code of Practice For Muslims in the West by Ayatullah Sistani, under the chapter “Medical Issues”, especially question 355 and 356:
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