The world is witnessing a wave of changes that have taken place at all levels. At the social level, there is an important issue that has recently taken place: the issue of sex change from male to female or vice versa, which may be due to several reasons, including the causes of genital mutilation, psychological reasons and causes of sensuality. The first reasons are the birth of a person with congenital problems in his reproductive system resulting in the inability to live in a proper manner. The psychological reasons are that the person feels that he is a prisoner in a body that does not feel belonging to him. The erotic reasons relate to the anomalous feelings of the person that he wants to change his sex for the purpose of delirious lust only.The change of sex in Iraq is legally governed by the instructions issued by the Iraqi Ministry of Health No. (4) For the year 2002. However, these instructions are not enforced for an unknown reason, although it is one of the first laws regulating the Sexual identity disorder in the Arab world.