Sally Mursi

Prior to pursuing medical operations, Mursi consulted with psychologist Salwa Jirjis Labib and underwent three years of conversion therapy, after which Labib referred her to a surgeon. Mursi was further referred to plastic surgeon Ezzat Ashamallah, who affirmed the diagnosis of "psychological hermaphroditism" and prescribed hormone replacement therapy for one year prior performing surgery on January 29, 1988.[1]

At the same period, Muhammad Sayyid Tantawy also released a Fatwa, recognizing that Sally Mursi needed the surgery for her health and that it was spiritually legal to change sex for transgender people, if their doctors said they needed it. But said that before Mursi could get the surgery, she had to follow all the rules of islam for women during a year, except the one about mariage.[2]

As a medical student at Al-Azhar University, Mursi had been suspended pre-transition for wearing women's clothing. When she returned post-transition, the university expelled her and initiated a legal battle against the physician Ashamallah, causing him to be removed from the Physician’s Syndicate.[3] The Syndicate requested a fatwa on the case from Sheikh Muhammad Sayyid Tantawy, who designated the issue as a medical condition and subject to physician's discretion. Al-Azhar brought the case against Ashamallah to court, in which process Sally was subjected to a full body examination. The examiner confirmed the diagnosis and Ashamallah was acquitted.[1]

• Maryam Khatoon Molkara, who was the subject of a similar case and fatwa in Iran