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24-year-old George Roberts feels that he is a woman, and he wants to have sex reassignment surgery. Before the National Health Service will approve the surgical procedures, they refer him to a psychiatrist in the Gender Identity Clinic at Charing Cross Hospital. The psychiatrist tells George that he must first live as a woman for one year. George throws away his men's clothing, informs his employer, and (per the hospital's requirements) finds a new flat nearer to the clinic.