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Friday, November 13, 2026Nov 13

Japan court upholds sterilization to register gender change

In this Thursday, Jan. 24, 2019, photo, Takakito Usui, a transgender man, cries while speaking during a press conference after Japan's Supreme Court handed down in Okayama, western Japan. Japan's top court has upheld a law requiring sterilization for transgender people to get their gender changed on official documents but acknowledged the law is increasingly becoming out of step with the international standard. (Kyodo News via AP)
In this Thursday, Jan. 24, 2019, photo, Takakito Usui, a transgender man, cries while speaking during a press conference after Japan's Supreme Court handed down in Okayama, western Japan. Japan's top court has upheld a law requiring sterilization for transgender people to get their gender changed on official documents but acknowledged the law is increasingly becoming out of step with the international standard. (Kyodo News via AP) In this Thursday, Jan. 24, 2019, photo, Takakito Usui, a transgender man, cries while speaking during a press conference after Japan's Supreme Court handed down in Okayama, western Japan. Japan's top court has upheld a law requiring sterilization for transgender people to get their gender changed on official documents but acknowledged the law is increasingly becoming out of step with the international standard. (Kyodo News via AP)

TOKYO (AP) – Human rights and LGBT activists on Friday denounced a ruling by Japan’s Supreme Court upholding a law that effectively requires transgender people to be sterilized before they can have their gender changed on official documents.

The court said the law is constitutional because it was meant to reduce confusion in families and society. But it acknowledged that it restricts freedom and could become out of step with changing social values.

The 2004 law states that people wishing to register a gender change must have their original reproductive organs, including testes or ovaries, removed and have a body that “appears to have parts that resemble the genital organs” of the gender they want to register.

More than 7,800 Japanese have had their genders officially changed, according to Justice Ministry statistics cited by public broadcaster NHK.

The unanimous decision by a four-judge panel, published Thursday, rejected an appeal by Takakito Usui, a transgender man who said forced sterilization violates the right to self-determination and is unconstitutional.