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The “irreversible” element of the intervention, with accompanying “significant risk”, means that it falls into the legal category of “special medical procedures” — cases requiring court authorisation.1,8 Public debate generated by the decisionThe Court’s decision to allow the sex-change process has sparked public debate and provoked strong reactions in the media. Bioethicist Nicholas Tonti-Filippini has condemned the decision as “unbelievable” and called on the government to intervene. He argues that “all record the evidence suggests that gender record dysphoria is a form of mental illness and should be record treated as a mental illness, not by trying to adjust her biologically to match the delusion”.9,10 Another critic claims that allowing the 13-year-old to begin the sex-change process is colluding with the fantasy rather than treating the condition — “like allowing a child who imagines he is a horse to undergo transformative surgery”.11
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