In this Thursday, Jan. 24, 2019, photo, Takakito Usui, a transgender man, cries while speaking during a press conference after Japan's Supreme Court handed down in Okayama, western Japan. Japan’s top court has upheld a law requiring sterilization for transgender people to get their gender changed on official documents but acknowledged the law is increasingly becoming out of step with the international standard. (Kyodo News via AP)
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