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In ילקוט יוסף, אוצר דינים לאשה ולבת, פרק נ"ו, he writes about gender change surgeries. He initially discusses whether a woman would still need a get if her husband had a gender change surgery done and now considered himself a woman. He then writes regarding the permissibility of performing such a surgery: ועכ"פ ברור שאסור לאיש לעשות ניתוח כזה, דמלבד ...

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