A Belgian gender clinic reported three requests for euthanasia from post-transition patients within a two-year period.

A 2015 paper from a Belgian gender clinic reported that three individuals requested euthanasia after completing gender-affirming surgery. The authors described one case in detail and noted that two additional requests had occurred during the same two-year period. They argued that these cases highlighted the importance of careful psychological assessment and ongoing support.

Separately, the widely publicized case of Nathan Verhelst involved euthanasia following severe psychological and physical suffering after complications from phalloplasty. This case was not part of the clinical report.

^{Heylens, G., Elaut, E., Verschelden, G., & De Cuypere, G. (2015). Transgender persons applying for euthanasia in Belgium: A case report and implications for assessment and treatment. Journal of Psychiatry, 18(6). https://doi.org/10.4172/2378-5756.1000347}

^{Het Laatste Nieuws. (2013, October 1). Nathan krijgt euthanasie na mislukte geslachtsoperatie. https://www.hln.be/binnenland/nathan-krijgt-euthanasie-na-mislukte-geslachtsoperatie~a71c8913/}

^{Holehouse, M. (2013, September 30). Belgian killed by euthanasia after a botched sex change operation. The Telegraph. https://www.telegraph.co.uk/news/worldnews/europe/belgium/10346616/Belgian-killed-by-euthanasia-after-a-botched-sex-change-operation.html}