Not all who testified before the Committee were sterilized by the Eugenics Board directly. In many cases people who were sterilized were operated on by local clinics and doctors. It was argued that in many of these cases patients were not fully educated as to the nature of the procedure and were urged into it by doctors or social workers who were making judgements based upon their patients' economic situation. Young women of limited means who had multiple children were specifically targeted for sterilization by many case workers.