Can Catholics have a sex change?

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No, because not only is it “not okay” but it is also completely impossible. Surgeries that alter gender-specific organs of the human body do not alter that person’s sex because his or her sex is immutable. All that such surgeries do is to directly and unjustly mutilate the human body, which is immoral:
Kidnapping and hostage taking bring on a reign of terror; by means of threats they subject their victims to intolerable pressures. They are morally wrong. Terrorism threatens, wounds, and kills indiscriminately; it is gravely against justice and charity. Torture which uses physical or moral violence to extract confessions, punish the guilty, frighten opponents, or satisfy hatred is contrary to respect for the person and for human dignity. Except when performed for strictly therapeutic medical reasons, directly intended amputations, mutilations, and sterilizations performed on innocent persons are against the moral law (CCC 2297, emphasis added).
 
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