Transgender Act Of Pakistan
Gender is normally determined by doctors and written on the birth certificate when an infant is born. An infant doesn’t decide his or her gender. So no medical is needed for everyone to verify gender. Only when an adult wants to change a gender a medical exam should be necessary to determine if the person is trying to change gender because of sexual orientation due to lifestyle or psychological issues or if a Khwaja Sara with both gender organs is realizing in his or her adult hood that he is either a women or a man regardless of looks and voice. In the first case above no gender change should be allowed. In the case of Khwaja Saras, it should be allowed once when adult (because parents or doctors may have chosen a wrong gender when Khwaja Sara was an infant). In extreme rare cases in unusual circumstances a Khwaja Sara should be allowed the gender change second time in the adulthood in such cases as if the first time he/she was forced or he/she through medical treatment was able to transform into a single gender person.