Mariela Castro, a sexologist and gay-rights advocate, announced the return of sex-change procedures in comments aired on state television. She runs the Center for Sex Education, which prepares transsexuals for sex-change operations and has identified 19 transsexuals it deems ready to undergo the procedure.
Castro also said she backs efforts to allow lesbians to be artificially inseminated, a procedure currently barred.
The first successful sex-change operation was performed on the island in 1988, but subsequent procedures were prohibited, Mariela Castro told an international congress on assisted reproduction meeting in Havana.
Some Cubans protested the decision last year to allow the operations, either because of general opposition to the procedure or for its high costs for a developing country with economic problems.
The government would bear the cost of the operations because Cuba has a universal health care system.
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