Modern
Surgery & Islam
Modern advancements in surgery have
created many different methods of application in the field of medicine.
Islamic law brings into question as to whether or not these methods are
permissible.
It is quite evident that rules pertaining
directly to this problem cannot be found in the Qur’aan and Hadith. However,
due to the Shar’iah being a universal code and containing therein a flexibility
in being able to solve questions of any nature, the early ulama of Islamic
jurisprudence (usul al-fiqh) have laid down rules and principles derived
from its divine texts, so that answers can be found to solve new arising
problems. Although Allah has divinely secured Islam from terminal forms
of decay, nonetheless providence has not neglected the ummah.
In order to protect the Shar’iah
from the dangers of innovation and distortion, the great scholars of usul
have laid down rigorous conditions for anyone deciding to solve current
problems. These conditions include:
a) Mastery of the Arabic language,
to minimise misinterpreting on linguistic grounds,
b) A profound knowledge of Qur’aan
and Hadith obtained from learned scholars,
c) Knowledge of the views held by
the companions, followers and great imams, and of the positions expounded
in the textbooks of Fiqh,
d) Knowledge of the specialised
discipline of Ahaadith, such as the assessment of narrators,
e) Knowledge of the science of juridical
analogy (qiyas), its types and conditions,
f) Knowledge of ones own society
and of public interest (maslihah),
g) A high degree of intelligence
and piety combined with the Islamic virtues of compassion, courtesy and
modesty.
The subject under review is that
of altering the features created by Allah, whether by make-up, plastic
surgery or any other means.
Before we approach this subject
it should be noted that of all the magnificent creations in the heavens
and earth, Man has been bestowed a special honour. Allah states in the
Qur’aan:
"We have shaped Mankind in the best
mould."
In another verse he says:
"We bestowed the progeny of Adam
specific honour and sanctity."
Therefore, anything against the
sanctity of Mankind will be considered impermissible (haraam) under the
Islamic Shar’iah. In another verse, Allah quotes Satan saying:
"Verily I will mislead them, and
surely I will arouse in them false desires; and certainly, I will order
them to still the ears of cattle, and indeed I will order them to change
the nature created by Allah."
From the foregoing Qur’aanic verse,
it is explicitly clear that to alter the features created by Allah is unlawful
(haraam). The following Ahaadith further elaborates this rule:
The Prophet sallallahu alaihe
wasallam cursed those ladies who practise tattooing and those who get
themselves tattooed and those ladies who get their hair removed and those
who make artificial spaces between their teeth in order to look more beautiful
whereby they change Allah’s creation.
(Ibn al-Maja)
In a hadith narrated by al-Bukhari:
Ibn al-Abbas reported that the Prophet
sallallahu alaihe wasallam cursed the males who took the forms of
females and the females who take the form of males. He said "Drive them
out of your houses."
Ibn al-Abbas reports that the Messenger
of Allah sallallahu alaihe wasallam said, "Allah cursed the males
who appear like females and the females who appear like males."
(al-Bukhari)
Abu Hurairah reports that the
Prophet sallallahu alaihe wasallam cursed the man who puts on the
dress of a woman, and the woman who puts on the dress of a man.
(Abu Dawood)
Ibn Umar reports that the Prophet
sallallahu alaihe wasallam said, "Allah has cursed the female who
wears false hairs and the woman who dresses others with false hairs and
the who practises tattooing and the woman who gets others tattooed."
(al-Bukhari and al-Muslim)
Abu Hurairah reports that the
Prophet sallallahu alaihe wasallam said, "The evil eye is a reality
and he forbade tattooing."
(al-Bukhari)
The prohibition, which is expressed
in the aforementioned Ahaadith, has been given an effective cause (‘illat).
The Scholars have stated that any ruling or prohibition dispensed by Qur’aan
or Sunnah and juridical analogy (qiyas) seeks its extension to a new case,
then in order to constitute the valid basis of an analogy (qiyas), it must
fulfil the following conditions:
a) It must not contradict the Quran
and Hadith.
b) It must not change any of the
commandments or prohibitions already established by the divine texts.
c) It must be rational in the sense
that human intellect is capable of understanding the reason of its enactment
or that the effective cause (‘illat) is clearly given in the text itself.
d) The ruling (hukm) must be operative,
meaning it must not be abrogated (mansukh).
The effective cause (‘illat) for
the above prohibition is found in the first hadith quoted above, in the
text, "Whereby they change Allah’s creation." After having scrutinised
the entire corpus of Ahaadith the Ahaadith quoted above have fulfilled
the above conditions. Therefore, anything found altering the creation of
Allah will be ruled as unlawful (haraam).
Another point to be taken into consideration
is that Allah has commanded the body to be honoured and respected. The
method of respect has been explained to us by the Shari’ah. All rules and
acts of Shari’ah reflect abundantly the Islamic decree to honour and respect
the human body.
Man does not own his body it has
been given as a trust (amanah) and has to be employed in a way sanctioned
by the Almighty himself. To utilise the human body in any way which conflicts
with Allah’s commands will be unlawful (haraam) even if such use is based
on noble and altruistic motives.
This view has been enunciated and
articulated by the Islamic jurists. Ibn al-Humaam, the jurist says, "There
is unanimity that the sanctity of the dead Muslim is the same as the sanctity
of a living Muslim."
(Inaayah)
It is stated in ‘Sharh al-Siyar
al-Kabeer’ the Hanafi textbook, "The human being is sacred whether dead
or alive."
In ‘Radd al-Mukhtar’ of Ibn-i-Abidin
it is written, "The human being is sacred be he Muslim or non Muslim."
The great scholar Mufti Shafi states
in his book ‘Islam on Grafting and Transplanting Of Human Organs’, "If
Man’s skin, hair and organs are subjected to cutting and clipping for the
use of another person this will be against human sanctity, honour and the
divine intentions of his creator. This is the same reason why use of human
organs through their trade, has been declared a severe crime and totally
forbidden." He further states, "Islam has forbidden the use of human organs
even with the consent of the owner, nor does Islam allow anyone to donate
any part of his body with or without payment."
The great Hanafi jurist, Ibn-I-Abidin
has stated that taking benefit from human hair is not lawful because a
hadith states, "Allah curses the female who takes false hairs and the women
who dress others with false hairs." (By false hair, human hair is meant.)
In the fatawa of ‘Alamgiriyah’ it
is stated, "Taking benefit from human organs is not lawful due to dignity
and sanctity.
In ‘Badai al-Sanai’ it occurs "That
the replacement of someone’s tooth by a dead person’s is unlawful by unanimous
verdict.
In ‘Sharh al- Hidayah’ it is stated,
The skin of a man is not permitted for trade due to the sanctity of Man.
It is written in ‘Sharh al-Siyar
Kabir’, "It is permissible to use a bone for treatment, this is because
the bone does not become impure due to death of a person because it is
lifeless, but it will be impermissible to use the bone of a human or that
of a pig. It is impermissible to derive benefit from a pig because it is
foul by essence, so it will be unlawful to gain any benefit under any circumstances,
while a human being remains as honorific after death as he was in life.
Just as treatment by means of any organ of a living person is forbidden
due to sanctity, similarly will be the case of a dead person. The Prophet
sallallahu alaihe wasallam stated, "Breaking the bone of a dead
person is the same as the breaking that of a living person."
Taking into account the above quotes
it will be unlawful (haraam) to alter the creation of Allah, whatever method
applied. Thus, sex change, cosmetic surgery, organ transplants, giving
and taking of donors and breast enlargement will all be ruled as prohibited.
However, if prosthesis is used to improve functioning e.g. in the arms
and legs it will be permissible.
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