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			 It was a secret the Norwegian naval officer, then in his late 
			twenties and on duty in the Barents Sea at the height of the Cold 
			War, dared not reveal over a military line. 
			 
			That night Remø wrote to his wife, and shared the burden he had kept 
			to himself for as long as he could remember. 
			 
			"I knew at the age of four that I was a girl, not the boy that I was 
			born as," Remø said. "But I had to be tough, fight and act like a 
			boy. I didn't like it, yet I had a role to play." 
			 
			It was an act that Remø kept up until five years ago, when having 
			just turned 60, the former captain decided to start living openly as 
			a woman and be recognized as transgender. 
			 
			Amnesty International estimates as many as 1.5 million people across 
			Europe are transgender, a term used to describe men and women who 
			feel they have been born into the wrong body. 
			 
			While many European countries are becoming more accepting of 
			transgender people, there is still a long way to go before they are 
			granted equal legal rights, campaigners say. 
			 
			Norway is often ranked as one of the world's most progressive 
			nations when it comes to human rights. 
			
			  
			  
			Yet it is one of 19 European countries, including France, Belgium 
			and Italy, that require transgender people to undergo genital 
			removal surgery and sterilization before they can legally change 
			gender, according to human rights organization Transgender Europe (TGEU). 
			Sitting in her apartment in Oslo, Remø, who goes by the name John 
			Jeanette to highlight the legal plight of transgender people in 
			Norway, is adamant that changing one's legal gender should not be 
			dependent upon medical intervention. 
			 
			"I refuse to be operated on to be recognized as who I am," she told 
			the Thomson Reuters Foundation. 
			 
			STIGMATIZATION AND VIOLENCE 
			 
			In many European countries like Norway, the requirement of 
			sterilization, known in the Nordic nation as a 'real sex 
			conversion', is based on an administrative practice from the 1970s, 
			and has no legal basis. 
			 
			"Some insist that sterilization is necessary because it proves that 
			people are serious about changing gender," said Richard Köhler, 
			senior policy officer at TGEU. 
			 
			"There is also the belief that if someone, who is legally a man, 
			became pregnant and gave birth to a child, this could be a threat to 
			social order and shake up basic perceptions of gender," he told the 
			Thomson Reuters Foundation by phone. 
			 
			Not all countries in Europe require sterilization or surgery in 
			order to legally change gender. 
			 
			However, the majority, including Germany, Spain and Britain, demand 
			a psychiatric diagnosis of gender dysphoria or transsexualism, which 
			is classified as a mental illness by the World Health Organization 
			(WHO). 
			 
			The WHO plans to declassify transsexualism - defined as discomfort 
			with the body a person is born with and a desire to live as the 
			opposite sex - as a mental illness, which activists say results in 
			stigmatization of transgender people worldwide. 
			  
			
			  
			 
			Transgender people also tend to face greater levels of 
			discrimination and violence than lesbian, gay, and bisexual 
			communities because gender identity is often poorly understood 
			compared to sexual orientation, campaigners say. 
			In Europe, transgender people are twice as likely as gay people to 
			be attacked, threatened or insulted, according to a European Union 
			report published in December 2014. 
			 
			PUBLIC HUMILIATION 
			 
			From going to the library and visiting the doctor to picking up a 
			parcel or boarding a plane or train, everyday tasks can prove 
			publicly humiliating for transgender people when their documents do 
			not match their gender identity. 
			
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			The medical process for transgender people seeking state-funded 
			treatment to change legal gender can take up to a decade in Norway, 
			according to transgender activist Luca Dalen Espseth. 
			 
			Yet the majority of those who want to take hormones or have surgery 
			are denied the required diagnosis of transsexualism from healthcare 
			professionals, who often treat transgender people with hostility and 
			suspicion, he said. 
			At the Oslo office of LGBT organization LLH, Espseth recalls his 
			visits to the Oslo University Hospital, the only facility in Norway 
			where transgender people can receive medical treatment. 
			 
			"The doctors addressed me as female, doubted my history and 
			identity, and asked very intrusive questions about my sex life," 
			Espseth, 28, who was born female and transitioned to a man in his 
			early twenties, told the Thomson Reuters Foundation. 
			 
			Espseth went through eight appointments in one year at the hospital 
			before he received the diagnosis of transsexualism that allowed him 
			to receive the hormone treatment he desired, although like Remø, he 
			refuses to be sterilized. 
			 
			"I feel like I'm deprived of my right to legal gender recognition 
			just because I choose to exercise my right to refuse medical 
			treatments," he said. 
			 
			"Why should someone else determine our identity?" 
			"RULE OF LAW IS VITAL" 
			 
			Despite the struggle to change legal gender in Europe, campaigners 
			say transgender rights are gaining more attention. 
			 
			"Five years ago we had to explain to most policy makers what being 
			transgender meant, now it is about how to enact change and improve 
			trans rights," said Evelyne Paradis, executive director of ILGA-Europe, 
			a network of European LGBT groups. 
			 
			Malta last week became only the second European nation, after 
			Denmark, to allow transgender people to change legal gender without 
			medical intervention, and Köhler from TGEU hopes this will influence 
			other countries to follow suit. 
			
			  
			 
			"Rule of law is vital, it sends a message to trans people as to 
			whether they're seen as equal citizens or seen as backward and 
			needing to be protected from themselves," he said. "But laws can 
			only go so far, to change mentalities takes time." 
			In Norway, expert groups have been set up to assess whether the 
			requirement of sterilization should be removed and consider what 
			criteria should apply to change legal gender status. They will 
			deliver their findings to the government this month. 
			 
			Having waited her whole life to be recognised as a woman, Remø is 
			hopeful a new law will be passed this year, allowing transgender 
			people to determine their own identity. 
			 
			"It would give so many transgender people, who are still in the 
			closet, the confidence to come out and be themselves," she said. 
			 
			To watch the video of John Jeanette's story please go to https://www.youtube.com/watch?v=k5zgoOdhrJY 
			 
			(Reporting By Kieran Guilbert; Editing by Katie Nguyen) 
			[© 2015 Thomson Reuters. All rights 
				reserved.] Copyright 2015 Reuters. All rights reserved. This material may not be published, 
			broadcast, rewritten or redistributed. 
			
			
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