The Untold Story of Faith Waeni Kioko: Kenya’s First Man to Become a Woman Through Surgery in 1988 Who Faced Family Rejection

Nairobian Prime
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Photo Used for Illustration Purposes Only. (Courtesy)


In a society where gender norms are rigid, Faith Waeni Kioko made a historic and controversial choice in 1988: she became the first person in Kenya to undergo gender reassignment surgery. 


The procedure, performed at Kenyatta National Hospital, transformed her from Luka Kithuka Kioko, a man by birth, into Faith, a woman who finally aligned her body with her identity.


Faith’s struggle with gender identity began long before the surgery. Born male, she felt from an early age that her true self was female. 


By 1986, she had decided to transition and informed her parents of her plan. Their reaction was one of shock and dismay; traumatized, they held a family meeting to try to dissuade her. 


Faith accused her parents of deception, claiming they had misrepresented her gender since birth. 


Despite the family opposition, Faith pursued her transition. On October 11, 1988, she arrived at Kenyatta National Hospital, where a team led by Dr Kagiri Ndirangu conducted the groundbreaking operation, involving the removal of testicles and creation of a vagina. 


Her parents were unaware of the surgery until they saw it reported on KBC news, a revelation her father described as deeply humiliating. 


Though he attempted to confront Dr Ndirangu, Faith, at 28, was legally able to consent, leaving her father powerless.


After the surgery, Faith expressed a sense of peace and fulfillment. She embraced feminine clothing and spoke of hopes to marry and have children. 


Yet societal attitudes were harsh. In Kenya, gender reassignment is often met with disdain and ridicule. 


Faith became highly sensitive to public mockery, and on one occasion, assaulted a woman who taunted her gender identity. 


Arrested for the incident, she could not raise Sh40,000 bail and spent two months at Shimo La Tewa prison, where poor diet and limited access to her expensive hormonal medications worsened her health.


Medical complications compounded by incarceration took a heavy toll. After her release, Faith experienced severe swelling in her legs and stomach. Her health continued to deteriorate, culminating in her death in 2005. 


Her father publicly blamed the surgical team for prioritizing fame over her welfare, arguing that the operation was pursued more for professional recognition than for Faith’s well-being.


Faith Waeni Kioko’s life is remembered both for courage and controversy. She broke barriers in Kenyan medical history and challenged societal norms, but also faced mockery, legal troubles, and health complications. 


Her story highlights the complex challenges faced by transgender individuals in conservative societies, raising critical questions about the ethics of pioneering medical procedures and the social responsibility of both families and medical professionals.

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