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Mustafa:
Assalam Aleikum,

the answer to your third question regarding gender change RELIGIOUS SCHOLARS ARE as divided on sex-change operations as they are on organ donation and a host of other medical issues.
In the modern era, the debate was touched off by the late Sheikh Mohammed Mutawalli El-Shaarawys  denunciation of organ donations as haram. Our bodies, he said, are a divine trust from God that we will take back after our deaths, when God will demand to know whether we took good care of them. Organ donation is a type of self-mutilation, he claims, so surely the practice must be forbidden.
 
More liberal scholars counter that if they're recovered from a cadaver and would save another persons life, donating organs is no different than donating blood 100 percent halal.

Opinions are more sharply divided over cosmetic surgery. While some claim there can be no man-made changes to Gods creations, others say God would not forbid repairing a defect that has a negative impact on a persons life (provided, that is, the surgery doesnt result in a complete change in appearance).

Sex changes take the debate into yet more controversial territory because they invoke the issue of inheritance. This past spring, two brothers battled in an Alexandria court over the inheritance of their fathers fortune. Upon the mans death, his estate was divided equally between the two according to Shariah. One of the two underwent a sex-change operation two years later, sending his brother back to court claiming that because his brother was now his sister, she should only be entitled to one-third of the estate.

The court disagreed, saying the division of the estate happens according to the size of the family and the genders of its members at the time of the death. The ruling was in line with a 1996 Al-Azhar fatwa that said a male transsexual inherits a mans share provided he is clinically male when his parents die.

In essence, the argument over sex changes revolves around your interpretation of the statement la tabdeel lee khalq Allah, (There is no changing Gods creations, Quran 30:30), an aya used by conservatives to oppose everything from breast implants to cloning. Sex changes are wrong because they demand the removal of body parts. Moreover, they allege, the operations open the door to sins such as parents deciding they would simply prefer to have a boy rather than a girl.

Liberals, counter that God blessed physicians with certain powers. Surgeries are His way of allowing an individual to get back on the right track and lead the life he or she was meant to live. If there is a cure, it is because God did not want us to live with illness, and sex changes, they claim, are legitimate medical answers to real psychological and physical illnesses.

In changing someones sex, surgeons are no more altering Gods creation than they are when they perform a bypass operation. Similarly, burns should be treated and the mentally handicapped integrated into society as best they can. Only if the physician operates without solid medical reasons can the surgery be called haram.

Yet despite Sheikh Al-Azhar Mohammed Sayed Tantawis fatwa in Sallys case declaring that sex-change operations are a matter between a patient and his physician, the average citizen continues to see the surgery as contravening not only societys morals, but also the will of God.

I hope I have answered your questions from islamic perspective regarding all the three topics you put forward.
It is indeed a duty for the Muslim doctor what the islamic standpoints are. It is an obligatory on muslim doctos to seek knowledge from islamic scholars and should work closely with them when it comes to such issues

Yaxya:
jazaak alaah khyr ya akh mustafa realy i get from ur post a lot of useful information inshaalaah i hope u will get xasanaat from every one read this topic

MuslimDoc:
Thanks Mustafa

You gave good answers for all questions.

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