End Compulsory Sterilizations, ‘Mental Illness’ Diagnosis
(Tokyo) – Transgender people in Japan face continuing barriers to changing their legally recognized gender, Human Rights Watch said in a report released today. The Japanese government should heed increasing calls from activists and experts to revise its abusive and outdated transgender recognition law.
The 43-page report, “‘The Law Undermines Dignity’: Momentum to Revise Japan’s Legal Gender Recognition Process,” documents the persistent barriers transgender people face in Japan under the Gender Identity Disorder (GID) Special Cases Act. The procedure for changing one’s legally recognized gender, which requires sterilization surgery and an outdated psychiatric diagnosis, is anachronistic, harmful, and discriminatory. Many transgender people in Japan and domestic medical, legal, and academic experts, as well as international health and human rights bodies, have said that the law should be substantially revised.
“Transgender people are courageously speaking out against Japan’s abusive and discriminatory transgender law, and increasingly gaining support from experts in medicine, law, and academia,” said Kanae Doi, Japan director at Human Rights Watch. “Tokyo officials should embrace public opinion and local-level policies and update the law to reflect current medical and legal perspectives.”
The current law has five requirements for a transgender person to be legally recognized according to their gender identity. They must be: at least 20 years old; unmarried; not have any children under age 20; not have gonads or permanently lack functioning gonads; and have a physical form that is “endowed with genitalia that closely resemble the physical form of an alternative gender.”
Each of these requirements contravenes Japan’s international human rights obligations, and is opposed by the World Health Organization (WHO) and other medical expert bodies. The medical requirements in particular underpin widespread prejudice against transgender people. The diagnosis requirement rests on an outdated and pejorative notion that a transgender identity is a “mental disorder” and the surgery requirements force transgender people who want legal recognition to undergo lengthy, expensive, invasive, and irreversible medical procedures. Forcing people to divorce and not allowing those under 20 to change their legal gender is discriminatory.
Itsuki Dohi, a transgender woman and teacher in Kyoto, told Human Rights Watch: “The five requirements of the GID Law all narrow down the life choices that transgender people have. This undermines our dignity.” Miho Mitsunari, a professor at Nara Women’s University, said: “The five requirements are based on the idea of changing transgender people’s sex from ‘deviations’ to ‘normal.’ It promotes prejudice against transgender people who cannot, or do not want to, change their body.”
https://www.hrw.org/news/2021/05/25/japan-new-momentum-reform-transgender-law