Since December 2016, new identity documents are issued before surgery is conducted. This followed an August 2016 ruling, which ordered changes requested by two transgender people to their passports and all other documents without requiring them to undergo surgery. What's more, people with a child younger than 18 years old and married people can now also apply to transition. Previously, all applicants needed permission from a special commission of the Ministry of Healthcare and needed to spend 30 days in a psychiatric hospital (usually placed in the same wards with patients who are mentally ill) and needed to be diagnosed with "transsexuality".Transgender life in Ukraine officially labeled as ‘disorder’, Kyiv Post (23 July 2015)</ref> This is no longer required.