A surgeon in India is planning to transplant a womb into a trans woman in a high-risk surgery that could pave the way for the first successful case of pregnancy in a biological man.

Dr. Narendra Kaushik, from New Delhi, the capital city of India, who runs a gender reassignment clinic said he is all set to perform the high-risk procedure that involves taking the reproductive organs from a dead donor or a patient who had transitioned from a female to male and inserting them into the trans woman, Lad Bible reported.

There had been only one documented case of a womb being inserted into a trans woman in the past. However, the experiment was not successful as the patient died from complications months after the surgery.

Even after the transplanting of the uterus, the trans woman would still face further challenges in getting pregnant. They would require procedures like IVF and a C-section delivery as they do not have a fully functioning vagina.

Kaushik, however, is "very optimistic" about success but has not revealed the identity of the trans woman who will be receiving the surgery. He has also not revealed the exact date on which the procedure would take place.

"Every transgender woman wants to be as female as possible — and that includes being a mother. The way towards this is with a uterine transplant, the same as a kidney or any other transplant. This is the future. We cannot predict exactly when this will happen but it will happen very soon. We have our plans and we are very very optimistic about this," Kaushik told Granthasala.

With the advancement of medical procedures, experts around the world believe that it would not be a long way before a biological man who transitioned into a woman could get pregnant and deliver a child.

"There would be additional challenges, but I don’t see any obvious problem that would preclude it. I think it would be possible," Dr. Paulson, president of the American Society for Reproductive Medicine, said.

Several clinic trials of womb transplants have been carried out at Sydney’s Royal Prince Alfred Hospital in 2019. However, the cases were to help the biological women who were born without a uterus or those having damaged uterus to get pregnant.

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