https://en.wikipedia.org/wiki/Maryam_Khatoon_Molkara

In 1986 or 1987,[12] she confronted Khomeini in his home in Northern Tehran. She wore a man's suit, carried the Quran, and she tied shoes around her neck.[3][10] This was a reference to the Ashura festival, and also indicated that she was looking for refuge. Molkara was held back and beaten by security guards until Khomeini's brother, Hassan Pasandide, intervened.[3][10] He took Molkara into his house, where she pleaded her case, yelling "I'm a woman, I'm a woman!"[3] His security guards were suspicious about her chest, as they thought she could be carrying explosives. She revealed they were her breasts, as she developed them using hormone therapy.[3] Having heard her story, Ahmad Khomeini was touched and took Molkara to speak to his father, where he asked three of his doctors about the surgery in an attempt to make a well-informed decision.[3][10] Khomeini then decided that sex reassignment surgery was needed to allow her to carry out her religious duties.[13] This resulted in Khomeini issuing a fatwa, where he determined sex reassignment surgery to not be against Islamic law.[10]