A small group of irreversible treatments — psychosurgery and surgical implantation of hormones to reduce sex drive — can never be given without your valid consent. Even when you consent, an independent second-opinion doctor must certify that the treatment is appropriate.
Any patient for whom these treatments are being considered, whether detained or informal.
You can refuse, and your refusal must be respected. Consent must be real, informed and free — the safeguards exist precisely because these treatments cannot be undone.
Applies whenever one of these treatments is proposed, to detained and informal patients alike.
Refuse the treatment; ask for the second-opinion certificate; get help from an IMHA, a solicitor, or the hospital managers.
No leading reported case — the consent and second-opinion safeguards are the main protection in practice.
Last updated: 9/13/2026