Transgender identity is recognized through a sex reassignment surgery. NGOs reported that authorities pressured LGBTI persons to undergo gender reassignment surgery. It also extended transgender rights, banning discrimination by schools on the grounds of gender reassignment. A number of sex reassignment surgeries are available to transgender people. The Regulations banned discrimination against individuals undergoing "gender reassignment" in employment and vocational training. Wilson underwent gender reassignment from male to female in 1994. Staines flees to Spain for gender reassignment surgery. Elbe herself was one of the first people to undergo gender reassignment surgery. Coulter opposes publicly funded sex reassignment surgery. The process of undergoing sex reassignment surgery is extensive and rather arduous. The requirement for sexual reassignment surgery remains. Fearing for his life he underwent sex reassignment surgery. Persistent regret can occur after sex reassignment surgery. Many do not appear to be aware of the exemptions for gender reassignment. Many surgeons require two letters of recommendation for sex reassignment surgery.