Iran is not a “global hub” for transition.
The numbers tell the clearest story: the rate of surgical transition in Iran is roughly 1 in 60,000 people, about 200 times lower than the 1 in 300 seen in many Western countries. “The entire Iranian trans population would basically be a rounding error compared to Western trans populations.” – recursive-regret source [citation:72e87627-bcd7-49c3-913f-e32c4d01ae97]

Transition in Iran is state-run conversion therapy, not liberation.
In 1986 Ayatollah Khomeini issued a fatwa declaring that the “most Islamic” way to handle gay or effeminate men was to “give them cross-sex hormones and genital surgeries in order to make them more closely resemble females.” – MarkTwainiac source [citation:0c77cecf-0d31-486f-9768-2de541705fbe] Because homosexuality can carry the death penalty while being a “straight trans-woman” is legal, many Iranians accept surgery under obvious duress. “It’s illegal to be homosexual, punishable up to death, but perfectly legal to be a ‘straight’ transsexual.” – HeForeverBleeds source [citation:15ddae02-bc74-499b-a43d-e17ffd4d50bd]

Western praise misses the coercion.
Some activists outside Iran portray the policy as progressive, yet inside the country “it is forced on people who dare to be homosexual or even just a cis tomboy girl or effeminate man… They force it on people because they know it is conversion therapy.” – bo1555 source [citation:d0b57cf4-0a87-49e6-a727-586c5e5f3e04] The state’s goal is not affirmation of identity but erasure of same-sex attraction and visible gender non-conformity.

Hope lies in non-medical acceptance.
Iran’s example shows that when societies police clothing, mannerisms or love, some people will seek drastic medical ways to survive. True support means protecting gender-non-conforming and gay people from violence, not funneling them toward irreversible procedures. Freedom comes from loosening stereotypes, not from scalpels or syringes.