(The Detroit News) Mari Yamaguchi Jan. 25 2019 10:33 a.m. Tokyo Japans Supreme Court has upheld a law that effectively requires transgender people to be sterilized before they can have their gender changed on official documents. The court said the law is constitutional because it was meant to reduce confusion in families and society. But it acknowledged that it restricts freedom and could become out of step with changing social values. The 2004 law states that people wishing to register a gender change must have their original reproductive organs including testes or ovaries removed and have a body that appears to have parts that resemble the genital organs" of the gender they want to register. The unanimous decision by a four-judge panel published Thursday rejected an appeal by Takakito Usui a transgender man who said forced sterilization violates the right to self-determination and is unconstitutional.