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There was no specific provision in the statutes which allowed the Registrar to do this, so it existed probably only at the level of a policy directive.
National service was implemented in 1967, whereby all 18-year-old males were required to train full-time for two or two-and-a-half years, depending on their educational attainment.
The Gender Identity Clinic (GIC) at the National University Hospital quietly closed in 2001.
The official explanation was that the gynecologist in charge had left for private practice, and without him, the clinic did not have the skills to perform SRS.
In general, transsexuals that look like cisgender females have a much higher chance of being exempted."  As Singaporean gynaecological surgeons became more skillful, leaders in the field like Prof.
S Shan Ratnam were authorised to perform Sex reassignment surgery male-to-female (SRS) at Kandang Kerbau Hospital.
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However, as early as 1987, the Ministry of Health had been directing hospitals to stop doing such operations on foreigners.