"Attitudes to death go hand in hand with attitudes to sex. And it is in the sphere of sex that some of the greatest of medical confusions have arisen. I refer in particular to the "sex change" – again, an operation which has exhilarated the public, with its implication that sexuality is an elaborate accident, which can be tailored to the individual need. A person's sexuality is no longer regarded as part of his essence. It has become an attribute, which he might change as he changes his clothes. The possibility of thinking in such a way shows a deep change in perception. The obligation to accept one's sex has dwindled, in the same way as the obligation to accept one's death. Consequently people call upon doctors to help them, demanding painful, expensive and dangerous operations, whose moral effects cannot really be envisaged in advance, and whose premise is a kind of delusion which, however it might arouse our compassion, ought not to inspire our connivance. No doubt the time is not far distant when sex-change operations will be obtainable on the National Health, granted on the advice of "experts" able to discern the "real" gender identity of the soul sheathed within each human envelope."