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Madras High Court Affirms Fundamental Right of Transgender Person to Change Gender Identity Post-Surgery Under Transgender Persons (Protection of Rights) Act, 2019

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Madras High Court Affirms Fundamental Right of Transgender Person to Change Gender Identity Post-Surgery Under Transgender Persons (Protection of Rights) Act, 2019

Court directs Tamil Nadu Nurses and Midwives Council to update all official records reflecting petitioner's male gender identity without reference to prior transgender status and facilitate registration transfer to Karnataka Nursing Council within eight weeks


In a landmark judgment dated August 18, 2026, the Madras High Court has upheld the fundamental right of a transgender individual to have their altered gender identity legally recognized and reflected in all official documents and professional records, following gender affirmation surgery and issuance of a revised gender identity certificate under the Transgender Persons (Protection of Rights) Act, 2019 ("the Act").


The petitioner, initially registered as a transgender person with the Tamil Nadu Transgender Welfare Board, underwent gender affirmation surgery on January 12, 2024, and subsequently obtained a revised gender identity certificate from the District Magistrate under Section 7 of the Act. The petitioner legally changed his name through an official gazette notification and updated all major identity documents such as Aadhaar, PAN, and Voter ID to reflect his male gender.


Despite these changes, the petitioner faced discrimination and non-recognition of his male gender identity by the Tamil Nadu Nurses and Midwives Council, where he was registered as a nurse. When the petitioner sought to transfer his nursing registration to Karnataka State to pursue his profession in a more accepting environment, the Council continued to refer to him as a "transgender male," disregarding the legally issued certificate and updated records.


The petitioner challenged this refusal before the Madras High Court seeking a mandamus directing the respondents to update all records-digital and physical-to reflect his male gender identity exclusively and to issue a no-objection certificate for transfer of registration to Karnataka.


Justice D. Bharatha Chakravarthy, presiding over the matter, emphasized that under Section 7 of the Transgender Persons (Protection of Rights) Act, 2019, a transgender person who undergoes gender affirmation surgery is entitled to a revised gender identity certificate from the District Magistrate, which enables alteration of the first name and gender in all official documents. The Court further invoked the Supreme Court's judgment in Justice K.S. Puttaswamy (Retd.) v. Union of India (2018) to highlight that recognition of gender identity is an inherent aspect of the fundamental right to privacy under Article 21 of the Constitution.


The Court held that all authorities, including professional councils, are legally bound to respect and implement the change in gender identity without any disclosure or reference to the previous transgender status. The Court ordered the Tamil Nadu Nurses and Midwives Council to:


1. Digitally and physically update all records to reflect the petitioner's gender as male, removing any reference to "transgender" or "transgender male," ensuring such corrections are confidential and not communicated further.

2. Describe the petitioner exclusively as male in all future communications and records.

3. Facilitate transfer of the petitioner's nursing registration to Karnataka State Nursing Council without delay.

4. Complete all corrections and transfer formalities within eight weeks from receipt of the Court's order.


This decision marks a significant affirmation of the rights of transgender persons under the newly enacted Act, reinforcing their dignity, privacy, and professional recognition post gender affirmation surgery. It sends a strong message to administrative authorities and professional bodies to comply strictly with statutory provisions and respect the fundamental rights of transgender individuals.


Bottom Line:

Transgender Persons (Protection of Rights) Act, 2019 - A person who undergoes gender affirmation surgery and obtains a certificate under Section 7 of the Act has the fundamental right to have their altered gender identity recognized by all authorities.


Statutory provision(s):

Transgender Persons (Protection of Rights) Act, 2019 Section 7; Constitution of India Article 21 (Right to Privacy)


XXX v. Tamil Nadu Nurses And Midwives Council, (Madras) : Law Finder Doc Id # 2974630

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