A Japanese transgender man, Gen Suzuki, 46, has filed a court request to have his legal gender recognized as male without undergoing sterilization surgery as prescribed by national law. His case highlights the urgent need for Japan to revise its outdated and harmful transgender legislation. In Japan, transgender people who want to legally change their gender must appeal to a family court. Under the “Gender Identity Disorder (GID) Special Cases Act,” applicants must undergo a psychiatric evaluation and be surgically sterilized. They also must be single and without children younger than 20. In 2017, during its Universal Periodic Review at the United Nations Human Rights Council, Japan pledged to revise the law. But despite mounting domestic and international pressure, the government has failed to do so. In 2019 Japan’s Supreme Court upheld a lower court ruling that the law did not violate Japan’s constitution. However, two of the justices recognized the need for reform. “The suffering that [transgender people] face in terms of gender is also of concern to society that is supposed to embrace diversity in gender identity,” they wrote.