Family court approves second gender change petition for gender identity disorder Okayama. Takahito Usui (50) from Shinjo Village, Okayama Prefecture, who is listed as a woman in his family register but has been diagnosed with gender identity Disorder and lives as a man.

He filed for a non-surgical gender change eight years ago and took his case all the way to the Supreme Court, but he was rejected. The Supreme Court decided in a ruling on another person's petition that the law's requirement that sex change requires undergoing surgery was unconstitutional and invalid.