In China, transgender people are pathologized as suffering from “transsexualism”, which is classified as a type of “Gender Identity Disorder” in the 3rd edition of the Chinese Classification of Mental Disorders (CCMD-3).
While in China gender-affirming surgeries are available and regulated, there is an oppressive set of requirements: notarised parental agreement, divorce if married, and gender identity disorder diagnosis, which should also confirm that the applicant is heterosexual.