Iran’s Two Faces: Trans Medical Tourism vs. Forced Transitions at Home


As the demand for gender-affirming surgeries continues to grow globally, Iran has emerged as a surprising hub for trans medical tourism, offering procedures at a fraction of the cost found in Western countries. With surgical procedures priced as low as $12,000, compared to $45,000 in the U.S. and $30,000 in Thailand, Iran attracts many English-speaking patients seeking affordable care.
The government actively promotes its surgical expertise, aiming to generate $8 billion annually from medical tourism, while showcasing itself as a leader in gender affirmation surgeries, performing around 4,000 procedures each year.
However, this medical haven contrasts sharply with the experiences of local LGBTQ+ individuals. In a country where systemic violence and coercion against transgender people persist, many face forced alterations rather than the autonomy over their bodies that medical tourists enjoy.
The Iranian state’s endorsement of gender-affirming surgeries is paradoxical; while it welcomes foreign patients with open arms, local transgender individuals often endure societal stigma and pressure that can lead to coerced medical decisions.
The Iranian government promotes surgeries for foreign patients, yet local transgender individuals face stigma and coercion in their medical choices.
Medical tourism packages include luxurious accommodations and sightseeing tours, further enhancing the appeal for their foreign clientele. Yet, such commodification of gender-affirming procedures raises ethical questions.
For international patients, the expertise of Iranian surgeons may seem like a ray of hope, but for local transgender individuals, the reality is a struggle against a backdrop of discrimination and coercion.
This duality underscores the complexities of medical tourism in Iran, where the desire for affordable care is entangled with the harsh realities faced by those who reside within its borders, revealing a landscape fraught with contradictions.
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