Military service of intersex people varies greatly by country. Some armed forces such as the Australian fully embrace intersex people in modern-day while others have vague rules or policies or treat the subject on a case by case basis, such as the United States. History In the late 1800s, military medical examinations became a driving force in increased detection and diagnosis of intersex individuals. Views The 2014 book Operative Pediatric Surgery states that "societies that have accepted intersex individuals culturally may still have issues with whether or not to accept them in the military", this being due to the difficulties in determining where to place them as well as the complex medical issues they may pose. In 2007 the US-based Palm Center released a report that found that most of the militaries beliefs about transgender and intersex medical requirements were myths and posed no barrier to effective service. By country United States Accepting of intersex people in the United States Armed Forces appears to vary depending on the nature of the condition of the individual people. Publications by the United States National Center for Biotechnology Information recommends that intersex individuals be allowed to serve in the armed forces, but not combat units. The Veterans Health Administration distinguishes between surgeries for transgender individuals and intersex persons. In 2015 this allowed intersex persons to receive medically necessary treatment that was prohibited for transgender people. Israel Officially, Israel Defense Forces policy does not prohibit intersex patients' draft but does exclude some people based on intersex status. The Military Medicine journal estimated in 2008 that there should be expected to be about "a few dozen" intersex persons serving in the Israel Defense Forces at that time and that it is probable that most intersex persons service closeted since it is underreported comparatively to the general population. According to the publication this is most likely caused by shame or secrecy. One reported case of an intersex woman was found where the woman's status was not discovered until military medical investigation, she was initially drafted to a combat unit and served successfully, but was later transferred to a non-combat unit where she also completed her service successfully. It was also discovered that her older sister who served in a fully in a non-combat unit also was intersex, as was their younger sister who was yet to be drafted. Australia A report from 2017 by ABC Online