Abstract
Background Few cases of transgenderism were reported in Romania before 1989; these persons were frequently labeled as delinquent and imprisoned for both their sexual orientation and the sexual identity disorder, being in contradiction to the socialist ethical codex. Therefore, they were obliged to hide their need for truth and coming out. Objective to describe the development of the legislative changes in the field of human rights and their personal consequences. Design and methods We will describe the case of a young mentally retarded man who asked for sex reassignment surgery and social rehabilitation in spite of poor knowledge about the medical and social consequences. The two steps were fulfilled although at least three major contraindications were ignored. Results the sex reassignment surgery proved to be unsuccessful, the patient being obliged to endure the status of “no sex”. This latter confusion determined the patient to ask a further surgical procedure in order to regain his previous status. Media presented for more than 10 years the case in detail, without any concern of privacy. Conclusions The application of the current legislation in the field, the fulfillment of the medical, social and vocational conditions along with the real life test and the personal context should be weighted maturely in each case before the surgical reassignment procedures.
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