However, in June 2008, the Family Court ruled that full sex reassignment surgeries are not always necessary to meet this legal threshold. Sex reassignment surgeries take place largely in private hospitals or overseas. In the 1990s, New Zealand was dubbed a "world leader" for such operations, with comparatively low cost and relaxed public attitudes. In 2014, however, the country's only specialist surgeon retired, leaving transgender people seeking such operations in a state of limbo. Several chose to join the waiting list for publicly funded surgeries, which are limited to only four every two years (three for male to female, and one for female to male), or to go abroad. In October 2018, the Government announced its intention to increase the number of publicly funded operations. At that time, there were 111 people on the waiting list, meaning some had to wait up to 50 years. The New Zealand Human Rights Commission noted in its 2004 report on the status of human rights in New Zealand that transgender and non-binary people in New Zealand face discrimination in several aspects of their lives, however, the law is unclear on the legal status of discrimination based on gender identity. Currently, the Human Rights Act 1993 does not explicitly prohibit discrimination on the basis of gender. Whilst it is believed that gender identity is protected under the laws preventing discrimination on the basis of either sex or sexual orientation, it is not known how this applies to those who have not had, or will not have, sex reassignment surgery. Some overseas courts have determined that transgender people are covered by prohibitions on discrimination based on sex, but there is also international case law suggesting it is not. Even if it is, it is unlikely to apply to transgender people who have not or will not have sex reassignment surgery. Likewise, placing gender identity under the prohibitions on the grounds of sexual orientation is problematic. While there is some inconsistent international case law, it has been noted that gender identification and sexual orientation are too unrelated for this to be suitable. The International Commission of Jurists and the International Service for Human Rights in 2007 created the Yogyakarta Principles to apply international human rights law to gender identity and sexual orientation. The first and most arguably most important is that human rights are available to all humans, regardless of gender identity, and that states should