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En omdat naast de kwaliteit ook de veiligheid van deze kunstmatige testosteron minder goed is, wordt niet aangeraden om deze namaak kunstmatige testosteron te gebruiken. The most common form of gender-confused or gender-bending behavior is the transition to the other sex. In The Netherlands, transsexuals generally undergo surgical procedures before they can officially change their sex. The Dutch government officially recognizes and supports such surgeries for the purpose of gender non-conforming people, or those who are uncertain of their gender identity or want to transition to the opposite sex. This policy is based on the assumption that transsexual persons experience their biological sex as their natural gender and as such, it takes much longer to change their sex. This does not mean that the transvestite and transsexual populations in The Netherlands are completely free and equal, however, some in the Netherlands are allowed to be the opposite sex, with no formal social stigma. In The Netherlands, the use of sex reassignment surgery is governed by a Dutch Medical Committee (MKV) which is charged with providing advice and legal guarantees. The MKV has given the Dutch medical system three years to formulate new laws on this matter. In November 1996, the Dutch Medical Committee finally issued a report in which it said: The transition to the other sex is possible in the Netherlands without surgical intervention. It can therefore be regarded as a medical condition that cannot be prevented or treated directly with psychotherapy or other medical methods (medical aid). This is the state of affairs before December 31, 2000. This ruling applies only to the Dutch population, and also applies only to medical care that is provided by private practitioners, and not through public facilities like hospitals, clinics or clinics operated by state-sponsored insurance companies. This ruling is binding on all Dutch citizens. In other countries, transgender people usually undergo surgery at a private hospital, or have their own private clinics for gender reassignment treatment. These treatment procedures are generally available only on an individual basis, and generally cost around US$30,000 to US$80,000. In contrast, gender alteration operations are usually covered by insurance through private corporations. The costs associated with these treatments are, in general, not covered by insurance. Thus, in the Netherlands, transsexuals are not required to pay these "social" costs. Transsexuals are very much at risk of discrimination and harassment when living or attending public places, including schools, hospitals, shopping malls, movie theaters, and other public institutions. Transsexed individuals are rarely allowed any type of public or private education (for example, in primary or secondary education). In private institutions, the presence of transgender people is, Related Article: