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The report added: “While individuals whose gender identity differs from the physical sex they were assigned at birth have been allowed to officially change their sex under the Act on Special Cases in Handling Gender Status for Persons with Gender Identity Disorder (Act on GID), the recognition depends upon criteria that violate their human rights, including requiring the individual to be sterilized or otherwise being unable to reproduce, to undergo gender confirmation surgery, and be unmarried.”Īlthough gay sex has been legal in Japan since 1880, conservative attitudes towards it remain, as does the associated social stigma. The report stated that in Japan, “individuals are reluctant to disclose their sexual orientation or gender identity in the workplace, to their relatives, or in their social life, often leading to a sense of social and emotional displacement.”