Honeymoon murder suspect Shrien Dewani will be extradited to South Africa to face trial over his wife Anni's death.
Mr Dewani is accused of plotting to kill his wife, 28, who was shot in the head on the outskirts of Cape Town.
His defence team had argued that he could suffer setbacks in his mental health if sent back now, and that the decision should be delayed.
But chief magistrate Howard Riddle ruled at Westminster Magistrates' Court that Mr Dewani should return.
He said: "It is not in question that Shrien Dewani will be returned to South Africa. The treating clinicians continue to state that Mr Dewani will recover.
"There has been recovery, but it has been slow. It may be a long time before Mr Dewani is fit to plead, but he may be closer to that point.
"It is not impossible that if returned now, then after a reasonable period of further treatment and assessment he will be found fit to plead and a trial can take place."
Mr Dewani, a 33-year-old former businessman, has been diagnosed with post-traumatic stress disorder and depression and is receiving treatment at a hospital near Bristol.
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