An Iranian news service has said that more than one thousand Iranians have undergone gender reassignment surgery in the Islamic State between 2006 and 2010

Khabar-on-line reports that 1,366 Iranians acquired permits to perform gender confirmation surgery. The figures reveal that 56 per cent were male-to-female procedures .

Iranians that wish to undergo surgery must apply to the courts for a permit that is signed off by the state medical office.

The former leader of the state, Ayatollah Khomeini made gender reassignment surgery legal in 1984.

In 2009, PinkNews reported on the first trans marriage in the country that has a remarkably better approach to transgender issues than it does to male homosexuality, that can be punished with death.