But funds are limited and government officials decide on a case-by-case basis which individuals qualify. Making the decision to go through with gender-confirmation surgery was fraught with uncertainty. Instead, she began to live as a woman in Iran. Practically, she did not have the means to go through with the surgery and live independently. Essentially, Molkara, the Iranian religious leaders she worked with, and the Iranian government had reframed the question of trans people. The government does offer some limited financial support for gender-confirmation surgery, hormone-replacement therapy, and psychosocial counseling. Before the Islamic revolution in Iran there was no official government policy on transgender people.
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The moral police crack down on loose-fitting headscarves, tight overcoats, shortened trousers for women and necklaces and shorts for men.
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Hasti, a year-old Iranian trans woman from Khansar, told OutRight that she was frequently harassed by Iranian police for her feminine appearance and makeup. The government does offer some limited financial support for gender-confirmation surgery, hormone-replacement therapy, and psychosocial counseling. Sarah stayed in Iran for six years after surgery. In some cases, family members disown trans relatives.