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According to Halacha, a man is not supposed to dress like a woman and vice versa due to Deuteronomy 22:5. My question is whether feminization/masculinization surgery which makes your facial features look like the opposite gender, would be prohibited?

Would this be under the umbrella of “Lo Yilbash,” or no? Is this question found in contemporary responsa or codes of Halacha?

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    See answer to this question and the clip in the link judaism.stackexchange.com/questions/104941/…
    – Chatzkel
    Feb 22 at 19:04
  • What is "facial feminization surgery" specifically? Is there a distinction with facial masculinization surgery? If yes, specifically what are the distinctions? Please outline briefly a contrast and comparison distinguishing the two. Feb 22 at 19:05

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Before dealing with feminization/masculinization surgery specifically, one first has to ask whether cosmetic surgery in general is permitted. This is by no means simple and a review of sources (see e.g., here, here or here) shows a significant number of halachic authorities permitting it only in cases of real need, e.g., following an accident, to allow a person to marry, great psychological need, particularly when the surgery is risky.

Feminization surgery often requires breaking a significant portion of the face to reconstruct it, which carries real risks and much pain during recovery. The risk and unclear benefits alone might be reasons to forbid (bear in mind some people go through these operations only to regret it later.)

Beyond this, as you note, there is a Torah prohibition of "A woman shall not wear that which pertains to a man, nor shall a man put on a woman's garment" (Devarim 22:5). R J David Bleich (here) quotes R Meir Amsel (Ha-Ma'or, Kislev-Tevet 5733)

The commandment [of lo yilbash] is not limited to the wearing of apparel associated with the opposite sex but encompasses any action uniquely identified with the opposite sex, proscribing, for example, shaving of armpits or dyeing of hair by a male. A procedure designed to transform sexual characteristics violates the very essence of this prohibition.

R Avraham Steinberg (a specialist in Jewish Medical Ethics) (quoted here) writes

the biblical prohibition [...] of "wearing women's clothes" "includes conducting oneself like a person of the opposite sex" [and is] violated in converting a man to a woman.

As such feminization/masculinization surgery appears forbidden for the reasons indicated but, obviously, anyone reading this in practice should consult their rabbi before trusting anything they learn here.

There is no more action uniquely identified with the opposite sex that to try to look like it.

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