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Thailand looks to limit sex change surgery
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Thailand has issued rules making sex change surgery more difficult ¡ª including a requirement that potential candidates cross-dress for a year ¡ª over fears that some patients are rushing into the operation, a medical association said Thursday.

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Transsexuals and transgender men are a common sight in Thailand, appearing on soap operas and working at all levels of Bangkok society, from department store cosmetics counters and popular restaurants to corporate offices and red-light districts. A national transgender beauty pageant draws thousands to the beachside town of Pattaya every year.

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But over the past two years, a rash of castrations, especially among young men, has alarmed the medical establishment and prompted the new rules.

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Dr. Sampandh Komrit of the Medical Council of Thailand said the new rules went into effect Wednesday and require a person to wait a year after deciding on the surgery. The applicants must be over 18 and are required to dress in women's clothing for the year before surgery. It also requires a mental evaluation before the surgery and continued follow-up visits with a psychiatrist after getting the sex change.

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"This is a very important decision in their life," Sampandh said. "After the operation, there is no way to fix it."

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Last year, Thailand's Health Ministry ordered hospitals and medical clinics to temporarily stop performing non-medical castrations. The ministry said that the procedure needed stricter monitoring.

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Sampandh said he understood the motivation for sex change surgery, adding that he has met many men who insist they would be happier being a woman. But he said the new regulations give them the opportunity to think through their decision.

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"This is not a small thing, not like going shopping. Especially the teenagers, think carefully. Don't do it because your friend did it," Sampandh said.

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Patients with a long history as cross-dressers would be exempt from the one-year waiting period, he said.

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