The major thing that swayed the surgeon and the medical board was how long she had been living full-time as a girl, and how much therapy she had received. Here in the United Kingdom, we usually don't operate on transsexual patients under eighteen years of age. However, there are some cases where we have performed these operations on those under eighteen. Erica will be the youngest patient to have had such a procedure performed. Three years ago, we performed this procedure on a fourteen year old patient. She has adjusted well to life as a girl; she now has a boyfriend and has been accepted as the girl she has become. Erica has been well accepted as the girl she has become as well," she explained.