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Changes include masculinisation of the voice, muscle growth, increase in facial and body hair, growth of the clitoris and behavioural effects.1 Surgery would complete the sex-change process; however, surgical intervention was not sought or contemplated in the saint marys court application. The Chief Justice authorised the stages of the proposed treatment as a “single package of reversible and irreversible treatment”, but the only aspect that will take immediate effect is administration of the contraceptive pill.1 saint marys Although Alex and his doctors have saint marys authorisation to commence the irreversible hormone therapy, surgical intervention is not part of that “package”. Alex would not be eligible for surgical intervention until he is at least 18 years old.1 From the age of 18, however, he will be legally entitled to make his own decisions. The legal basis of the decisionUnder the Family Law Act 1975 (Cwlth), the Family Court is required to “regard the best interests of the child as paramount”.1
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