If a transgender individual gets saved, should the church require them to undergo a restorative sex change operation so that they are anatomically their original gender?

Eventually, every church will face a question like this. The first thing we must remember is that the gospel is for everyone-regardless of gender identity. The gospel is for the transgender and the transsexual just as much as it is for the one who identifies with his birth gender. The gospel promises wholeness in Christ and calls us to holiness. 

Thus, in response to the gospel, all true Christians seek to live in obedience to the God who created us male and female. Obedience to Christ means that we seek in every way to progressively move toward embracing our birth gender rather than lingering in rebellion or confusion. This is not to suggest that the progress of sanctification is easy or
instantaneous. As Eugene Peterson said, the Christian life is "a long obedience
in the same direction." In other words, obedience can be slow progress. What if the individual had undergone medical procedures and sex change operations before coming to Christ? Would surgery now be pastorally required or advisable in order to obey Christ? 

This situation requires the loving council of a local church to help this particular Christian understand what "long obedience" in this circumstance would involve. 

Pastors and congregations should consider age, context, and even physical and physiological factors when determining a course of action. But even without surgery, Christians in this situation should publicly and privately identify themselves according to their birth gender. Surgery is a secondary question to be handled with pastoral wisdom and sound medical advice.

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