Most programs also include elective courses. The program begins with a combination of required and elective coursework. Year 9s select one elective per semester. Those practices were combined to broaden cosmetic surgery and other forms of elective surgery. It consists of three compulsory and two elective subjects. Stuyvesant offers students a broad selection of elective courses. An additional four credits are required under the leadership and elective course types. In one study, 30 of 6499 people having elective surgery required reoperations to control bleeding. Surgery on the vagina can be elective or cosmetic. They can either be compulsory material or "elective". Vaginal rejuvenation is a form of elective plastic surgery. It is possible to choose the second foreign language as one of the elective subjects. The HBA1 year has no elective course work. Malaysia is a federal constitutional elective monarchy. Waiting time for elective treatment is quite high.