Want the government to pay for your sex change? Go to Iran.

Last fall, Passport noted that more sex-change surgeries are performed in Iran than in any other country except Thailand. Ayatollah Khomeini approved them for “diagnosed transsexuals” 25 years ago, and today the Iranian government will pay up to half the cost for those in financial need. Former FP researcher David Francis wrote, “In a country that shuns homosexuality, this makes perverse sense, as after a sex-change operation, one technically isn’t attracted to one’s own sex and therefore isn’t gay.”

Now, Iranian-born, American-raised, director Tanaz Eshaghian has made a provocative documentary, Be Like Others, about young Iranian men who undergo sex-change surgery. It premiered earlier this year at the Sundance and Berlin film festivals. Check out some clips here, including one of a 20-year-old man who laughingly remarks, “It’s so difficult,” in reference to wearing a head scarf outside.