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Consensus based on ad-hoc committee The consensus is based on an ad-hoc committee convened by the IOC Medical Commission that met on 28 October 2003 in Stockholm to discuss and issue recommendations on the participation of individuals who have undergone sex reassignment (male to female and vice versa) in sport.

Two years after gonadectomy In the opinion of the group, eligibility should begin no sooner than two years after gonadectomy.

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Sex reassignment after puberty The group recommends that individuals undergoing sex reassignment from male to female after puberty (and vice versa) be eligible for participation in female or male competitions, respectively, under the following conditions: - Surgical anatomical changes have been completed, including external genitalia changes and gonadectomy - Legal recognition of their assigned sex has been conferred by the appropriate official authorities - Hormonal therapy appropriate for the assigned sex has been administered in a verifiable manner and for a sufficient length of time to minimise gender-related advantages in sport competitions.

This also applies to individuals undergoing female to male reassignment, who should be regarded as boys and men (male).

The Executive Board of the International Olympic Committee (IOC) today approved the consensus proposed by the IOC Medical Commission stating the conditions to be respected for a person who has changed sex to compete in sports competitions. It is understood that a confidential case-by-case evaluation will occur.

These conditions will be applied as of the Games of the XXVIII Olympiad in 2004 in Athens. In the event that the gender of a competing athlete is questioned, the medical delegate (or equivalent) of the relevant sporting body shall have the authority to take all appropriate measures for the determination of the gender of a competitor.

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