en Psychiatry Psychiatry Original Research Original Research <p dir="ltr" style="text-align: justify;"><strong>Background: </strong>Gender identity disorder and its treatment with sex reassignment surgery is a profound experience, which can affect the mental, interpersonal, social and religious aspects of one&rsquo;s life.</p> <p dir="ltr" style="text-align: justify;"><strong>&nbsp; Methods</strong>: This was a qualitative content analysis study focusing on the various dimensions of the experiences of seven patients suffering from gender identity disorder in a female-to-male subgroup. This study presents a report concerning the religious aspects of their experience.</p> <p dir="ltr" style="text-align: justify;"><strong>&nbsp; Results</strong>: The findings of this study were categorized into the four following conceptual categories: sense of guilt; accomplishing a sense of submission to God&rsquo;s will as well as God&rsquo;s pleasing; practical commitment to religion; and rejection by the religious communities.</p> <p dir="ltr" style="text-align: justify;"><strong>&nbsp; Conclusion</strong>: Diminishing religion to spirituality comprised the core experiences of these patients having intimate relations with such concepts as secularism, stigma, and technocracy.&nbsp;</p> Transsexualism, Sex Reassignment Surgery, Religious Experience, Qualitative. 605 611 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1022&slc_lang=en&sid=1 Farnoosh Safavifar farnooshsafavifar@gmail.com 200319475328460023144 200319475328460023144 No Tehran Psychiatry Institute, Iran University of Medical Sciences, Tehran, Iran. Mehrdad Eftekhar mehrdad.eftekhar@gmail.com 200319475328460023145 200319475328460023145 Yes Psychiatry Department, Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran. Kaveh Alavi kavehalavi@yahoo.com 200319475328460023146 200319475328460023146 No Psychiatry Department Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran. Reza Negarandeh negarandeh@tums.ac.ir 200319475328460023147 200319475328460023147 No Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran. Amir Hossein Jalali drjalali57@gmail.com 200319475328460023148 200319475328460023148 No Psychiatry Department, Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran. Maryam Eftekhar m_eftekhar24@yahoo.com 200319475328460023149 200319475328460023149 No Tehran Psychiatry Institute, Iran University of Medical Sciences, Tehran, Iran.