Treatments that involve controversial ethical issues would require ethics review by the CEC to ensure the treatment is ethically appropriate and the patient receives ethical care.

The list of treatments that require CEC’s review currently include:

1) Surgical separation of conjoint twins

2) Psychosurgery

3) Treatment for sexual sterilisation on an unmarried person with mental capacity and below the age of 21.

4) Reproductive organ transplant

5) Gender reassignment surgery

6) Deep brain stimulation for any indication other than Parkinson’s disease, dystonia, essential tremor and epilepsy

7) Transcranial direct current stimulation

8) Preimplantation genetic diagnosis (PGD) with Human Leukocyte Antigen typing for the creation of saviour siblings

9) Testicular biopsy and testicular tissue freezing, if proposed to be performed on an individual who

• (a) has not experienced the onset of puberty and has been diagnosed with any medical condition that required gonadotoxic therapy; or

• (b) who has Klinefelter syndrome

10)Transfer of an inter-generational gamete or embryo for assisted reproduction procedures

11)Any treatment for a medical condition that involves the use of a cell, tissue, gene therapy product

• (a) that is manufactured by a licensee; and

• (b) in respect of such use has not been accepted by a respectable body of medical opinion as conventional treatment for the medical condition. 12) Pre-implantation genetic diagnosis with human leukocyte antigen typing for the creation of saviour siblings.