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In page Transphobia:

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In 1988, gender reassignment surgery was declared acceptable under Islamic law by scholars at Egypt's Al-Azhar, the world's oldest Islamic university. In Iran during 1987, Ayatollah Khomeini, the supreme religious leader of the Islamic Republic of Iran at that time, also declared transgender surgical operations as acceptable (see transgender rights in Iran). The foundation for this accepting attitude in contrast to intolerance of homosexuality is the belief that a person is born transgender but chooses to be homosexual. Despite this acceptance among some conservative Muslim scholars and leaders, transgender individuals within the Muslim community still face particular challenges.[citation needed]