After an examination, a sixteen-year-old compelled to publicly identify as a girl in Nangarhar's Chaparhar district would like to proceed as a boy in the future, but the family said that they cannot afford the cost of the treatment.

The family now calls the young person Abdul Rahman, and say that they had known for three years that their "daughter has male tendencies," but they had kept it a secret out of "fear."

“He was not interested in girls’ things like fashion, he always said that I don’t like these things and I am a boy,” said Rogul, the mother of Abdul Rahman.

"We kept it hidden from the villagers so they would not laugh at us, and we also are not able (to find a solution) economically,” said Khirullah, Abdul Rahman's father.

Abdul Rahman said that he felt like a male for a long time but was unable to talk about it with his family due to their shame.

“My parents went to the doctor with me. The doctor said you are a boy, not a girl,” said Abdul Rahman.

Doctors said that an operation will cost 600,000 Afghani.

Obaid Rahman Stanikzai, a doctor, said the youth had male organs, including a prostate.

Nearly five years ago, in a separate case in Rodat district in Nangarhar, a young person also originally named Adela identified as a boy after surgery and was named Abdul Rahman.