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We may be in the Baltic state of Estonia, but it appears much like many inner-city hospitals in Britain. Step inside the Perspex doors, however, and a remarkable transformation occurs - for now you are in the model healthcare environment. The first thing that strikes you is the smell: a wonderful fragrance that seems to be wafting from the flower shop in reception and mingles with a lemony detergent. It is infused with the inviting aroma of home cooking from the restaurant. Next, you notice the spotlessly clean linoleum floor, which is buffed to such a shine that you really can see your reflection in it.

Kim Seok Kwan, a plastic surgeon in Pusan, and asked if he could perform a sex-change operation, Kim told the man nobody knew anything about this operation in Korea, and that he could not help him. A few months later, a request from a second male transsexual sparked Kim‚s curiosity enough for him to start reading up on the subject. A short time later, Kim performed the first male-to-female sex change operation in South Korea.]