Genitoplasti untuk Disforia Gender di Indonesia: Justifikasi Status Positif Negara
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Abstract
State intervention in the issue of genital surgery (genitoplasty) for gender affirmation can spark a constitutional rights debate. Proponents of state involvement, allowing or even providing facilities for genitoplasty, base their arguments on the constitutional right of individuals to benefit from scientific and technological advancements to improve quality of life and access healthcare services. Furthermore, every individual is presumed to have the freedom to determine any treatment they wish to undergo for their body. On the other hand, opponents argue that the state has a justification for not fulfilling its positive status, as it also holds the responsibility to protect individuals from medical decisions that could jeopardize their health. Additionally, the legalization of genitoplasty could be considered contrary to religious values in Indonesia. The legal question addressed in this paper is: should the state entirely prohibit genitoplasty, or should it legalize and provide the necessary infrastructure, particularly in the context of Indonesia? Through the use of proportionality as a systematic method to assess the justification for state intervention, this paper argumentatively concludes that the state should refrain from fulfilling its positive status in this context.
Abstrak
Intervensi negara dalam isu operasi genital (genitoplasti, genitoplasty) untuk afirmasi posisi gender dapat memunculkan suatu perdebatan hak konstitusional. Pihak yang pro terhadap keterlibatan negara untuk membolehkan atau bahkan menyediakan fasilitas genitoplasti dilandaskan pada hak konstitusional individu untuk mendapatkan manfaat dari ilmu dan teknologi demi meningkatkan kualitas hidup dan memperoleh pelayanan kesehatan; terlebih setiap individu, dianggap, memiliki kebebasan untuk menentukan perlakuan apa pun yang dapat dilakukan terhadap tubuhnya. Di sisi lain, pihak yang berpandangan sebaliknya, melihat bahwa negara memiliki justifikasi untuk tidak merealisasikan status positifnya karena negara juga berkewajiban untuk melindungi individu dari keputusan medis yang dapat membahayakan kesehatan mereka. Di samping itu, legalisasi genitoplasti dapat dianggap bertentangan dengan nilai agama di Indonesia. Pertanyaan hukum dalam tulisan ini: apakah negara harus melarang sama sekali atau melegalkan dan menyediakan infrastrukturnya, khususnya dalam konteks di Indonesia? Melalui pendekatan proporsionalitas sebagai metode sistematis untuk melihat justifikasi intervensi negara tersebut, tulisan ini secara argumentatif berpandangan bahwa negara tidak seharusnya merealisasikan status positifnya.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Penulis yang mengirimkan naskah artikel pada Undang: Jurnal Hukum memahami dan menyepakati bahwa apabila naskahnya diterima dan dipublikasikan, maka hak cipta artikel tersebut dipegang oleh Undang: Jurnal Hukum, Fakultas Hukum Universitas Jambi. Pencipta artikel tersebut, sebagaimana ketentuan UU Hak Cipta, tetap melekat pada penulisnya. Sebagai pemegang hak cipta, Undang: Jurnal Hukum berhak secara eksklusif untuk mengumumkan, memperbanyak, dan mendistribusikan artikel tersebut, baik melalui versi cetak maupun digital. Undang: Jurnal Hukum sebagai pemegang hak cipta juga membolehkan kepada siapa pun untuk mengumumkan, memperbanyak, dan mendistribusikan artikel tersebut untuk kepentingan ilmiah atau akademis sepanjang tidak mengubah isi, kepengarangan, dan hak sitasinya; sedangkan pengumuman, perbanyakan, dan pendistribusian secara komersil harus melalui persetujuan tertulis dari Ketua Penyunting.
References
Artikel, Buku, dan Laporan
Almazan, Anthony N. dan Alex S. Keuroghlian. “Association between Gender-Affirming Surgeries and Mental Health Outcomes.” JAMA Surgery 156, 7 (2021): 611–18. DOI: 10.1001/jamasurg.2021.0952.
Barak, Aharon. Proportionality: Constitutional Rights and Their Limitations. Cambridge: Cambridge University Press, 2012.
Baskin, Avi, dkk. “Post-Operative Complications Following Feminizing Genitoplasty in Moderate to Severe Genital Atypia: Results from a Multicenter, Observational Prospective Cohort Study.” Journal of Pediatric Urology 16, 5 (2020): 568–75. DOI: 10.1016/j.jpurol.2020.05.166.
BBC. “Belgian Helped to Die after Three Sex Change Operations.” https://www.bbc.com/news/world-europe-24373107, 2/10/2013.
Bryson, Campbell dan Stanton C. Honig. “Genitourinary Complications of Gender-Affirming Surgery.” Current Urology Reports 20, 6 (2019): 1-6. DOI: 10.1007/s11934-019-0894-4.
Christopoulos, Panagiotis, dkk. “Abstracts of the 16th European Congress of Paediatric and Adolescent Gynaecology †.” Journal of Clinical Medicine 13, 24 (2024): 7574-82. DOI: 10.3390/jcm13247574.
Erlina, Fatni. “Dinamika Sistem Pemilu dan Demokratisasi Partai Politik di Indonesia Pasca Reformasi.” Kosmik Hukum 23, 2 (2023): 200-220. DOI: 10.30595/kosmikhukum.v23i2.16640.
Fuller, Alexandra G. “An Exploratory Study of Early Childhood Experiences and Gender Dysphoria.” PhD Dissertation, The Institute for the Psychological Sciences, Virginia, 2022.
García-Vega, Elena, Aida Camero, Maria Fernandez, dan Ana Villaverde. “Suicidal Ideation and Suicide Attempts in Persons with Gender Dysphoria.” Psichotema 3 (2018): 283–88.
Grimm, Dieter. “Proportionality in Canadian and German Constitutional Jurisprudence.” The University of Toronto Law Journal 57, 2 (2007): 383–97.
Hadj-Moussa, Miriam, Dana A. Ohl, dan William M Kuzon Jr. “Feminizing Genital Gender-Confirmation Surgery.” Sexual Medicine Reviews 6, 3 (2018): 457-68. DOI: 10.1016/j.sxmr.2017.11.005.
Hull, Megan. “Gender Dysphoria Statistics.” https://www.therecoveryvillage.com/mental-health/gender-dysphoria/gender-dysphoria-statistics/, 30/8/2024.
Jaring.id. “Habis Pemilu, Transpuan Dibuang.” https://jaring.id/habis-pemilu-transpuan-tersisih/, 15/9/2022.
Klarisa dan Budi Sampurna, Kepastian Hukum Perubahan Jenis Kelamin di Indonesia Ulasan Artikel (Jakarta: Perhimpunan Dokter Forensik Indonesia, 2017).
Kumm, Mattias. “The Idea of Socratic Contestation and the Right to Justification: The Point of Rights-Based Proportionality Review.” Law and Ethics of Human Rights 4, 2 (2010): 142–75. DOI: 10.2202/1938-2545.1047.
Leonard, Jayne. “What to Know about Female-to-Male Surgery.” Medical News Today, 12/7/2023. https://www.medicalnewstoday.com/articles/326590.
Lingiardi, Vittorio, dkk. “Personality and Attachment in Transsexual Adults.” Archives of Sexual Behavior 46, 5 (2017): 1313–23. DOI: 10.1007/s10508-017-0946-0.
Majelis Kehormatan Etik Kedokteran Indonesia. Kode Etik Kedokteran Indonesia. Jakarta: Ikatan Dokter Indonesia, 2012.
Mayo Clinic. “Feminizing Surgery.” https://www.mayoclinic.org/tests-procedures/feminizing-surgery/about/pac-20385102, 26/9/2024.
Merdeka.com. “4 Bahaya Orang Yang Nekat Operasi Ganti Kelamin.” https://www.merdeka.com/peristiwa/4-bahaya-orang-yang-nekat-operasi-ganti-kelamin.html?page=5, 23/3/2018.
Perwira, I Nyoman Satria, Ida Ayu Putu Widiati, dan Diah Gayatri Sudibya. “Perubahan Status Jenis Kelamin dalam Perspektif Hukum Positif di Indonesia.” Jurnal Interpretasi Hukum 2, 1 (2021): 74–78. DOI: 10.22225/juinhum.2.1.3095.74-78.
Petersen, Niels. “Alexy and the ‘German’ Model of Proportionality: Why the Theory of Constitutional Rights Does Not Provide a Representative Reconstruction of the Proportionality Test.” German Law Journal 21, 2 (2020): 164–73. DOI: 10.1017/glj.2020.9.
Pittara. “Hematoma.” Alodokter, 7/3/2023.
Plemons, Eric D. “It is as It Does: Genital Form and Function in Sex Reassignment Surgery.” Journal of Medical Humanities 35, 1 (2014): 37–55. DOI: 10.1007/s10912-013-9267-z.
Putra, Satria Rangga. “Pembatasan Hak Kebebasan Beragama pada Masa Pandemi COVID-19: Permasalahan dan Solusi.” Jurnal Legal Reasoning 2, 1 (2019): 52–72. DOI: 10.35814/jlr.v2i1.2236.
Putri, Rizqi Amalia. “Genitoplasti Transeksual dalam Timbangan Psikologi dan Fikih.” Risalah, Ma’had Aly Al-Zamachsyari, Malang, 2022.
Ramadhani, Arsy dan Dwi Budi Setiawan. “Gender Dysphoria as Seen in Normal Movie.” Linguistics and Literature Journal 2, 2 (2021): 124–33. DOI: 10.33365/llj.v2i2.643.
Rieder, David. “Lia Thomas, Transgender Swimmer from Penn, Swims Fastest Times in Nation; Controversy Brewing.” Swimming World, 7/12/2021.
Saputra, Dian dan Karimuddin Abdullah Lawang. “Komparasi Hukum Islam dan Hukum Perdata Terhadap Ganti Kelamin dan Konsekuensi Yuridisnya.” Jurnal Al-Maqasid 8, 2 (2023): 175–85. DOI: 10.24952/almaqasid.v8i2.6137.
Sircili, Maria Helena Palma, dkk. “Long-Term Surgical Outcome of Masculinizing Genitoplasty in a Large Cohort of Patients with Disorders of Sex Development.” Journal of Urology 184, 3 (2010): 1122–7. DOI: 10.1016/j.juro.2010.05.022.
Sisti, Andrea, Negaar Aryan, dan Payam Sadeghi. “What is Beauty?” Aesthetic Plastic Surgery 45, 5 (2021): 2163–76. DOI: 10.1007/s00266-021-02288-2.
Stone, Adrienne. “Proportionality and Its Alternatives.” Federal Law Review 48, 1 (2020): 124–56. DOI: 10.117 7/0067205X19890448.
Suara.com. “Diam-Diam Populasi Transgender di Indonesia Masuk 11 Besar di Dunia.” https://www.suara.com/news/2024/09/10/162754/diam-diam-populasi-transgender-di-indonesia-masuk-11-besar-di-dunia, 10/9/2024.
Taqwa, Muhamad Dzadit, Venitta Yuubina, dan Stephen Joy Herald Manurung. “Gender-Affirming Treatments to Children with Gender Dysphoria: Balancing the Children’s Constitutional Rights.” Journal of Southeast Asian Human Rights 8 (2024): 143–72. DOI: 10.19184/jseahr.v8i1.43469.
Tilney, Nicholas L. Invasion of the Body: Revolutions in Surgery. Cambridge, MA, and London: Harvard University Press, 2011.
TransHealthCare. “Gender Surgeons in United States.” https://www.transhealthcare.org/usa/#:~:text=Toby%20Meltzer&text=February%201%2C%202024-,Dr.,procedures%20since%20the%20early%20’90s. Diakses 19/12/ 2024.
Turban, Jack. “What is Gender Dysphoria?” https://www.psychiatry.org/patients-families/gender-dysphoria/what-is-gender-dysphoria, 2022.
Turban, Jack L., Stephanie S. Loo, Anthony N. Almazan, dan Alex S. Keuroghlian. “Factors Leading to ‘Detransition’ among Transgender and Gender Diverse People in the United States: A Mixed-Methods Analysis.” LGBT Health 8, 4 (2021): 273–80. DOI: 10.1089/lgbt.2020.0437.
Varkey, Basil. “Principles of Clinical Ethics and Their Application to Practice.” Medical Principles and Practice 30, 1 (2021): 17–28. DOI: 10.1159/000509119.
Young, Katharine. “Proportionality, Reasonableness, and Economic and Social Rights.” Dalam Proportionality: New Frontiers, New Challenges, diedit oleh Vicki C. Jackson dan Mark Tushnet, 221–47. Cambridge: Cambridge University Press, 2017.
Peraturan dan Putusan Hukum
Republik Indonesia. Undang-Undang Dasar Negara Republik Indonesia Tahun 1945.
Republik Indonesia. Undang-Undang Nomor 39 Tahun 1999 tentang Hak Asasi Manusia. Lembaran Negara Tahun 1999 Nomor 165, Tambahan Lembaran Negara Nomor 3886.
Republik Indonesia. Undang-Undang Nomor 35 Tahun 2009 tentang Narkotika. Lembaran Negara Tahun 2009 Nomor 143, Tambahan Lembaran Negara Nomor 5062.
Republik Indonesia. Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan. Lembaran Negara Tahun 2023 Nomor 105, Tambahan Lembaran Negara Nomor 6887.
Republik Indonesia. Peraturan Pemerintah Nomor 28 Tahun 2024 tentang Peraturan Pelaksanaan Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan. Lembaran Negara Tahun 2024 Nomor 135, Tambahan Lemabaran Negara Nomor 6952.
Republik Indonesia, Majelis Ulama Indonesia. Fatwa Nomor 03/MUNAS-VIII/MUI/2010 tentang Perubahan dan Penyempurnaan Jenis Kelamin,” 27/7/2010.