November 1st, 2009 New regulations by the Medical Council of Thailand. The council moved recently to strictly control sex-change operations and require that transgender people consult a gender specialist, psychologist, or psychiatrist, live as a female for a year and have received hormone therapy before such an operation is permitted. The new regulations require that surgeons undertaking the sex change be registered with the Medical Council. They must also treat any complications that occur following surgery. Surgeons who violate the new regulations face warnings or the threat of having their medical license revoked.