AbstractTo inflict injury upon one’s own genitals is not easy and most of the times it is associated with psychotic disorders. In the absence of any psychiatric disorder the reason could be religious, cultural or suffering from gender identity disorder. Here I present case of married male, aged
35 years suffering from gender identity disorder who has strong belief that it would have been much better for him if he was female. He has dislike for his own genitalia. Sexual conflict with his wife led to genital mutilation by him to remove testes. Great majority of cases does not seek any medical help being from rural background, illiterate and unavailability of medical access at the local places. Psychological counselling and medical assistance at appropriate time would have helped him.
Keywords: Genitals; Gender identity disorder; Mutilation.