Fumino Sugiyama is a transgender man, but Japanese law means he is not legally recognized as a male.
In Japan you have to be sterilized or “indefinitely reproducible” before you can legally change your gender.
Researchers say that reports of involuntary sterilization have been published in at least 38 countries around the world over the past 20 years, with women and marginalized groups worst affected by this “gross violation”.
We meet Fumino and another transgender man who has chosen to be sterilized to see the impact Japanese politics have had on their lives.
you can see the full documentary Forced to Face Sterilization, on BBC World News on Friday April 16.
Filmed by Sybilla Patrizia
Produced, directed and edited by Natalia Zuo
Executive produced by Claire Williams