Big changes to the World Health Organization’s global manual of diagnoses will no longer classify transgender health issues as mental and behavioral disorders. The new version instead discusses issues of “gender incongruence” in a chapter on sexual health.

In the latest manual, called the ICD-11, gender incongruence is defined as a marked and persistent incongruence between a person’s experienced gender and assigned sex.

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In the previous version – ICD-10 – this was considered a gender identity disorder, in the chapter entitled mental and behavioural disorders.

Dr Lale Say, a reproductive health expert at the World Health Organization, said: “It was taken out from mental health disorders because we had a better understanding that this was not a mental health condition,  and leaving it there was causing stigma.

Bioethics has long debated the concepts of “health” and “disease” or “disorder.” Some argue that health and disease refer to optimal states of biological functioning or deviation from it, while others argue that health and disorder are value-laden concepts that reflect societal values. The previous classification of homosexuality as a disease lends support for the latter view, as does this recent change. Evolving societal acceptance of transgender men and women has led to the decision that gender incongruence should not be considered a disorder.