Church teaching regarding transgenderism?

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What is Church teaching regarding how far one can go with transgenderism? Please pardon any ignorance I have on the matter - I admit I don’t know very much. I’m specifically interested in the finer points of female to male. For example, is it wrong to have a voluntary mastectomy and have hormone treatment? Thank you for your patience.
 
The Church teaches that there are two sexes: “male and female he created them.” It is inappropriate to act as if this were not true, or to pretend to be the other sex. Hormone treatment and surgery can be valuable medical therapies, but they should not be used to disguise one’s true sex.

(There are of course different ways of expressing masculinity and femininity.)
 
The Church teaches that while surgery aimed to treat a dangerous and deep-seated dissatisfaction with one’s actual gender can be morally tolerated if there is a compelling psychiatric reason (if it is deemed probable that the person would be a danger to themselves without it, for instance), it does not accomplish a change in the person’s gender to mutilate or attempt to falsify their secondary sexual characteristics. Even if the person were to be assigned a new gender under civil law, this does not change their gender according to Church law: e.g., their gender could not be altered on their baptismal certificate, on other Church records, or in an official way. (The situation with a person whose body is sexually ambiguous is slightly different.)

A deep-seated gender dysphoria–such as a person must exhibit before an ethical doctor would even consider surgery aimed at achieving a sex change–is also one of many serious mental issues that prevents a person from being properly disposed for marriage, ordination, or joining a religious community.

On a pastoral level, it has been explained to me this way: Obviously someone with such a deep-seated dissatisfaction with their gender deserves the utmost compassion, even if the falsehood that they are “really” a different gender cannot be supported in an absolute sense. It is kind of like people who suffer from species dysphoria, who feel very strongly that they do not actually belong to the human race. If their situation is deep-seated enough, there is nothing to be gained by challenging their delusion, and much harm that can be done by doing so. In that case, it is better to refrain from upsetting them unnecessarily and to ignore their delusion as much as possible. It is a sad situation, because of course such individuals can be entirely mentally capable in every other respect, and as a result of their own suffering can be some of the most accepting individuals anyone could ever meet. They deserve the most gentle treatment that can be mustered. This willingness to be tolerant might possibly be used to find a common ground for a relationship, if both parties are willing.

If your child insists they are a different gender, it may become obvious that it accomplishes nothing to insist on their real name and their real gender in their presence. If it is just going to upset them, and if their condition is permanent it will accomplish no good. Obviously, no one thinks it is morally repugnant to accommodate an older person who mistakenly believes a dead spouse is still alive and toddling around the house somewhere. Nothing good is achieved by repeatedly telling Grandma that Grandpa has been dead for 20 years. The difference is, of course, that a person with gender dysphoria can be entirely sane in every other respect. They cannot be lied to, because they are morally aware, even though confused in this particular area, which would make the lie a deception, in a way that a demented person cannot be deceived because they lack the awareness to grasp that a truth could exist that is in conflict with their perception. Still, it is probably possible to strike a truce, agreeing to tolerate the person’s insistence to some degree while in their presence, so as to spare them suffering and to spare your relationship unnecessary conflict, on the condition that they understand that just as they cannot accept that their birth gender is correct, in the end you cannot accept that it was not, no matter what pronoun or name you agree to use out of consideration for his or her feelings.
 
…For example, is it wrong to have a voluntary mastectomy and have hormone treatment? Thank you for your patience.
It is wrong to have healthy organs removed or to take medications with serious side effects for an insufficiently serious season. Some people with deep-seated gender dysphoria, however, become depressed to the point of being suicidal, and have a delusion that is so entrenched that they cannot be reasonably expected to let go of it. If delusion is being accommodated in order to relieve a life-threatening degree of depression over the internal conflict, medical treatment that would otherwise be unethical can (as I understand it) be tolerated. The alternative, after all, is to either lock the person up or else wait for the day when they’re going to succeed in killing or maiming themselves. That is a reason serious enough to justify such a drastic treatment.

Keep in mind that a person who attempts a self-surgery or who receives an incompetent surgical intervention could make their situation even worse, such that a competent surgeon might feel compelled to do a surgery that will otherwise be done by someone less competent, incompetence that could have disastrous results:
nydailynews.com/life-style/health/belgian-transsexual-dies-euthanasia-botched-sex-change-article-1.1473875
 
What is Church teaching regarding how far one can go with transgenderism? Please pardon any ignorance I have on the matter - I admit I don’t know very much. I’m specifically interested in the finer points of female to male. For example, is it wrong to have a voluntary mastectomy and have hormone treatment? Thank you for your patience.
The following is the best answer I have ever read on this forum to your question. If was written by the CAF member Po18guy. This was his response:
The Church allows repentance. It allows for a deeper understanding of the crosses we bear in this life. It allows for the expression of love for all. It calls us to deny ourselves, take up those crosses and follow the Lord. It does not allow for God to be opposed. Sex changes do not alter the gender of one’s DNA. If one is supposed to be male, they would have been born male, a likewise for females. If one “thinks” or “feels” or “desires” to be man-made into the complementary sex, then one’s thoughts, feelings or desires are disordered. Back to repentance.
 
What is Church teaching regarding how far one can go with transgenderism? Please pardon any ignorance I have on the matter - I admit I don’t know very much. I’m specifically interested in the finer points of female to male. For example, is it wrong to have a voluntary mastectomy and have hormone treatment? Thank you for your patience.
The church does not have theology describing transgenderism, as this is mostly within the domain of medicine and biology. Through natural law, we understand that there are two genders, and that gender is integral to an individual’s identity. Thus there can be no “change” of gender. However, determining the true gender can be complicated or impossible for some individuals.

Throughout the centuries, there have been “ambiguous” genders, where individuals had genitalia that appeared part male, part female. Until genetic testing was invented, there was no way to determine the true gender of an individual. Even with genetic testing, there are cases of people with a chimeric blend of male and female DNA in different parts of their body. Theology has simply not caught up with scientific observation yet; thus these individuals are, out of caution, barred from the priesthood, and discouraged from attempting marriage.

In the case of “transsexuals”, those who are outwardly pure male or female, but feel trapped in a body of the wrong gender, science has not yet come to fully understand the situation, thus theology cannot fully address it either. On a case by case basis, individuals may choose to undergo surgery to change the outward appearance of their gender to relieve the extreme stress they experience, but this is not recognized as and authentic change in gender. The theology is not strong enough to absolutely bar such surgery, nor accept it as a gender “reassignment”.
**
Social teaching dictates that these individuals be treated with dignity and not be unjustly discriminated against.**
 
The church does not have theology describing transgenderism, as this is mostly within the domain of medicine and biology. Through natural law, we understand that there are two genders, and that gender is integral to an individual’s identity. Thus there can be no “change” of gender. However, determining the true gender can be complicated or impossible for some individuals.

Throughout the centuries, there have been “ambiguous” genders, where individuals had genitalia that appeared part male, part female. Until genetic testing was invented, there was no way to determine the true gender of an individual. Even with genetic testing, there are cases of people with a chimeric blend of male and female DNA in different parts of their body. Theology has simply not caught up with scientific observation yet; thus these individuals are, out of caution, barred from the priesthood, and discouraged from attempting marriage.

In the case of “transsexuals”, those who are outwardly pure male or female, but feel trapped in a body of the wrong gender, science has not yet come to fully understand the situation, thus theology cannot fully address it either. On a case by case basis, individuals may choose to undergo surgery to change the outward appearance of their gender to relieve the extreme stress they experience, but this is not recognized as and authentic change in gender. The theology is not strong enough to absolutely bar such surgery, nor accept it as a gender “reassignment”.
**
Social teaching dictates that these individuals be treated with dignity and not be unjustly discriminated against.**
The theology isn’t strong enough? That is an odd way of putting it. Are you saying that there are theologians at the Vatican who foresee a scientific discovery that is going to change the Church’s position on whether gender can be changed? 🤷

Considering that the genetic origin of gender is already understood and taking into account the existence of the phenomenon of species dysphoria, as an example, I do not see that happening. The only thing I can imagine changing is a discovery of the genesis (whether one or more) of the dysphoria, such that the suffering of this condition can be treated.
 
The theology isn’t strong enough? That is an odd way of putting it. Are you saying that there are theologians at the Vatican who foresee a scientific discovery that is going to change the Church’s position on whether gender can be changed? 🤷
While gender cannot be changed, there is room to better discern someone true gender. As I stated, there are well documented ambiguous cases, where individuals contain have both male and female DNA. As transsexualism is still poorly understood, there could be unforeseen scientific discoveries that offer a clearer theological solution.
 
The Church teaches that … surgery aimed to treat a dangerous and deep-seated dissatisfaction with one’s actual gender can be morally tolerated …
Please back up your claim with a quote from an authoritative source.
 
The Church teaches that there are two sexes: “male and female he created them.” It is inappropriate to act as if this were not true, or to pretend to be the other sex. Hormone treatment and surgery can be valuable medical therapies, but they should not be used to disguise one’s true sex.

(There are of course different ways of expressing masculinity and femininity.)
As I see it, the person afflicted with gender dysphoria finds his body in conflict with his sense of self (or his ‘brain’, if you like). To the best of my knowledge, there is no treatment for the brain (or widely effective therapy) to relieve the conflict. There are treatments which change the body, and thus hold out the hope (and in some proportion of cases, the reality) of an easing of the conflict. So it is not too surprising that some will opt for the operation. I think it is fairer to describe this act as an attempt to ease a severe conflict, rather than an attempt at “pretending” (though in some sense it is that). The word ‘pretending’ seems to make light of the circumstances of the individual involved.

I find it odd that some homosexual persons consider their condition to be perfectly normal, and not requiring or warranting any corrective action at all (and indeed arguing that attempts at “correction” would in fact be destructive of their person), yet with gender dysphoria, the argument is the reverse. It is more logical to assert that both groups are suffering from some medical condition (cause unknown). I can understand the discomfort with calling it a “mental illness” - but clearly something is not as it ought to be.

What if there were an understanding of the cause(s) of these conditions, and a medication(s) for the brain that would ‘correct’ them? One wonders how each would react? Would some homosexuals refuse the treatment? Would some dysphoria sufferers still demand access to the operation. I suspect they would - being unable to accept that their sense of self is defective. How then would the medical community react?
 
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EasterJoy:
If your child insists they are a different gender, it may become obvious that it accomplishes nothing to insist on their real name and their real gender in their presence. If it is just going to upset them, and if their condition is permanent it will accomplish no good. Obviously, no one thinks it is morally repugnant to accommodate an older person who mistakenly believes a dead spouse is still alive and toddling around the house somewhere. Nothing good is achieved by repeatedly telling Grandma that Grandpa has been dead for 20 years. The difference is, of course, that a person with gender dysphoria can be entirely sane in every other respect. They cannot be lied to, because they are morally aware, even though confused in this particular area, which would make the lie a deception, in a way that a demented person cannot be deceived because they lack the awareness to grasp that a truth could exist that is in conflict with their perception. Still, it is probably possible to strike a truce, agreeing to tolerate the person’s insistence to some degree while in their presence, so as to spare them suffering and to spare your relationship unnecessary conflict, on the condition that they understand that just as they cannot accept that their birth gender is correct, in the end you cannot accept that it was not, no matter what pronoun or name you agree to use out of consideration for his or her feelings.
I don’t think I agree with that part, being me a child who insisted I was a boy (I used to dress in boy’s clothes, cut my hair by myself short so I would look like a boy and asked to be called by a male name) and who certainly would have been diagnosed with gender dysphoria. I am convinced most people don’t know how to.deal with this. The first problem here is that in the adult’s mind the child’s confusion is of a sexual nature when I can assure that is not the root of the issue. First you need to ask the child why the insistinance (actually we were discussing that in another thread with someone else who also had gender dysphoria and who outgrow it thanks to good handling by the mother) . Most likely the reason is due to preferences, the child sees activities that kids from the opposite sex do and thinks those are fun and that is what I want to do, and I am this sex I won’t be able to do it so then I am becoming the other sex to be able to do the fun stuff (specially when kids are small 3 or 5). I think the child needs to be insisted what their real sex is but at the same time told that still he can ne his real sex and do the stuff that he wants to do.

Obviously the child will get upset when you insist on the real sex, I was insisted by my grandmother that I was a girl not a boy (while at the same time saying that I could do the same things boys do as girls and be friends with all the boys I wanted while being a girl) , and yes it did upset me but I grew into a perfectly normal woman completely happy with my body. Now I am far from being the most feminine girl around but I was able to overcome it. If my grandmother would not have insisted to me that I was a girl I would probably have gotten confused, eventually when discovered the sexual factor involved here I would have started to hate my body and probably would have ended as a transgender. I think this a case where a truth that hurts is better than a lie that would make you happy for five minutes but miserable for the rest of your life.
 
What is Church teaching regarding how far one can go with transgenderism? Please pardon any ignorance I have on the matter - I admit I don’t know very much. I’m specifically interested in the finer points of female to male. For example, is it wrong to have a voluntary mastectomy and have hormone treatment? Thank you for your patience.
I know that church teaching varies from one circumstance to the next as each person is unique. For example, there are many children born with a penis and a fully functioning uterus and ovaries. In the past, when these children were born the doctor and parents just picked a gender, performed surgery and raised the child as a boy or girl. Today, they do not do this as the child will eventually make the choice. I know a Bishop who gave permission for a sex change to a person with both sexual organs which seems appropriate.

Gender identity is a very complex topic, If you are considering transgender options, I suggest you investigate this with a doctor , pyschiatrist and spiritual director like a priest. The process is not an overnight process and needs serious and thoughtful consideration.
 
I know that church teaching varies from one circumstance to the next as each person is unique. For example, there are many children born with a penis and a fully functioning uterus and ovaries. In the past, when these children were born the doctor and parents just picked a gender, performed surgery and raised the child as a boy or girl. Today, they do not do this as the child will eventually make the choice. I know a Bishop who gave permission for a sex change to a person with both sexual organs which seems appropriate.

Gender identity is a very complex topic, If you are considering transgender options, I suggest you investigate this with a doctor , pyschiatrist and spiritual director like a priest. The process is not an overnight process and needs serious and thoughtful consideration.
Thanks, but it’s not for me. My friend is considering it, and she’s an atheist. I’ve been just trying to collect information from the Church on this so I can know how to react.
 
For what its worth, the friend who introduced me to the Catholic Church is transgendered (FTM) and without his surgery and treatments he would have almost certainly committed suicide, his gender dysmorphia was pretty intense from what I could glean as I met him post transition. I don’t know exact teaching on this if there is one but he is one of the most devout people I know after returning to the church from a 13 year absence.
 
Thanks, but it’s not for me. My friend is considering it, and she’s an atheist. I’ve been just trying to collect information from the Church on this so I can know how to react.
Do yourself a big favor. Ask a good priest. All you will get here are opinions for the most part.

If you don’t know a good priest, ask around. Or write to a religious community that you know walks the straight and narrow.

God bless you for helping your friend. I will pray for her.
 
Please back up your claim with a quote from an authoritative source.
I am looking, because I remember it surprised me when I read it, too. The Church teaching is

CCC 2297Except when performed for strictly therapeutic medical reasons, directly intended amputations, mutilations, and sterilizations performed on innocent persons are against the moral law.

The extreme condition under which genital amputation would be tolerable is the situation where a patient is known to be self-harming and is at a high risk of suicide or great physical self-harm if the surgery was not done. IOW, doctors do get patients in who have had to be hospitalized for self-mutilation of their genitals or breasts and are poor candidates for therapeutic treatment of this psychiatric condition. We are talking about a very extreme case, and that is a clarification well worth making. It would not apply to everyone who experiences symptoms of clinical depression or threatens self-harm because of the depth of their self-dissatisfaction over their true gender. IOW, these are cases where the question is not “if”, but rather only “when.”
 
For what its worth, the friend who introduced me to the Catholic Church is transgendered (FTM) and without his surgery and treatments he would have almost certainly committed suicide, his gender dysmorphia was pretty intense from what I could glean as I met him post transition. I don’t know exact teaching on this if there is one but he is one of the most devout people I know after returning to the church from a 13 year absence.
This is the kind of case where an exception might be considered: that is, when the surgeon and psychiatrist conclude that such an extreme surgery is the only treatment likely to be life-saving. Since it is the most extreme treatment with the most dire side-effects, it does have to be reserved for those few cases where it is the only viable option available to preserve the patient’s life. When you’re talking about the amputation of an otherwise healthy body part, that’s the kind of trade-off that has to drive it.
 
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