In December 2006, the Social Welfare Department legalised sex change surgery at government hospitals to prevent surgery that was badly performed.
In early March 2009, the Government General Hospital in Chennai (previously Madras) performed a free sex change operation on a male to female transsexual. The hospital could not do breast implants due to a lack of funds.
The Government General Hospital is seeking funds to set up a special department for this type of surgery.
The hospital had performed 6 sex change procedures before this and has another 12 patients waiting for surgery.
It was noted that the surgery itself was not new to India and had been performed by various plastic surgeons across the country for several years.
However, Tamil Nadu appears to be the first state in India to perform free (funded by the government) sex change operations.
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