This article discusses whether Article 3(1)(iii) in the Act on Special Cases in Handling the Status of People with a Gender Identity Disorder is unconstitutional or not. On November 30, 2021, the Supreme Court of Japan concluded that Article 3(1) (iii) was constitutional. This article discusses the appropriateness of this conclusion, comparing it with other cases concerning Article 3(1) dealt with by the Supreme Court of Japan.