The ICD is in the process of revision, and recent drafts have reflected these changes in social norms. , the final advance preview of the ICD-11 has de-pathologised most things listed in ICD-10 section F65, characterizing as pathological only those activities which are either coercive, or involving significant risk of injury or death, or distressing to the individual committing them, and specifically excluding consensual sexual sadism and masochism from being regarded as pathological. The ICD-11 classification consider Sadomasochism as a variant in sexual arousal and private behaviour without appreciable public health impact and for which treatment is neither indicated nor sought."