Iran Lures Transgender Foreigners for Surgery but Forces Operations on Locals - The New York Times https://share.google/EthlZRgk3jyX2OH6V

For 40 years Iran has performed more gender transition surgeries than many other nations, largely a result of pressuring gay and gender-nonconforming citizens to undergo unwanted operations or risk the death penalty.

Fun addendum: My Blue Heaven was written by Nora Ephron, who was married at the time to Nicholas Pileggi, the screenwriter for Goodfellas.