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The history and subculture surrounding transgender people in Singapore is substantial.Not immediately apparent to Singapore's mainstream society is the fact that the gay community sees itself as a totally separate entity from the transgender communities (often also referred to as "transvestite and transsexual" communities).They are individual subcultures with many different priorities and concerns.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.Transgender was listed as a condition in a Singapore Armed Forces (SAF) 'Directory of Diseases' and recruits who outed themselves to the examining doctors at the Central Manpower Base (CMPB) at Depot Road had their 'deployability' denied in sensitive positions.

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However, before patients could go under the knife, they first had to subject themselves to an exhaustive battery of tests and be given a clean psychological bill of health by chief academic psychiatrist Prof. "In 1973, Singapore legalised sex-reassignment surgery. A policy was instituted to enable post-operative transsexual people to change the legal gender on their identity cards (but not their birth certificates) and other documents which flowed from that.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.However, for over 20 years, this policy seemed to have operated smoothly." Later, the more technically demanding sex reassignment surgery female-to-male was also offered at Kandang Kerbau Hospital and at Alexandra Hospital, performed by gynecologists such as Dr. A Gender Identity Clinic (GIC) and Gender Reassignment Surgery Clinic were set up at the National University Hospital two decades later. S Shan Ratnam until his retirement in 1995, after which leadership passed to his nephew, Dr. In fact, for 30 years, Singapore was one of the world leaders in SRS, performing more than 500 such operations.This gave a new lease on life to the many transgender individuals whose bodies did not match their gender identity.