Serbia has become an international hub for sex-change surgery with four clinics catering to an international market, according to the New York Times.
Last year 100 people had the operation, which costs only about US$10,000. The same surgery would cost at least $50,000 in the USA. Additionally, Serbian surgeons perform most surgeries in a single six-hour operation.
To qualify, candidates need two letters from psychiatrists attesting that they are suffering from gender identity disorder, a year of counselling and a year of hormone therapy.
This procedure is flourishing in Serbia, though the Serbs have little tolerance for homosex. It appears that the Serbs distinguish between legitimate gender confusion, which is relatively rare, involving less than 2% of the world's population, and homosexuality as a life choice.
Related reading: Transgendered Woman Decries Action of Episcopal General Convention