Kenyan digital content creator Kelvin Kinuthia has announced he has begun the process of transitioning, sparking a national debate on the realities and risks of sex change surgeries in Kenya.

• These complex medical interventions, including hormone replacement therapy and genital reconstruction, carry significant risks such as blood clots, infections, long-term pain, and loss of sexual function, according to global studies.
• Many post-transition individuals report psychological and emotional strain, including regret, depression, or heightened anxiety, with some even seeking costly and complicated reversals.
• The surgeries can cost millions of shillings if sought abroad, and local insurance providers typically do not cover them, pushing some towards unsafe, unregulated clinics.
• Health professionals emphasize the necessity of intensive psychological evaluation and long-term counseling for anyone considering such irreversible procedures.