religious experiences of iranian transgenders: a qualitative study

background: 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's life.   methods: 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.   results: the findings of this study were categorized into the four following conceptual categories: sense of guilt; accomplishing a sense of submission to god's will as well as god's pleasing; practical commitment to religion; and rejection by the religious communities.   conclusion: diminishing religion to spirituality comprised the core experiences of these patients having intimate relations with such concepts as secularism, stigma, and technocracy.