I recently discovered this info on a straight, kinda homophobic (that's why i won't link him) blog. Despite some disagreements with him i have to admit that i share some of this comment. The decree is about malformation only but when was the last decree applied 100% correctly?
I have no idea but i think it was a long time ago. So, will Viet Nam became a new "ladyboy land"? I really doubt so, the culture is much less tolerant than Thailand but who knows? It can be a profitable business.
Indeed i think medical tourism is about to beginning here. A few months ago i decided to do lasik surgery for my crappy eyes. I did find easily a clinic to do so for 12m VND (a bit less 600€ at that time) for both eyes. Unfortunately they did had the latest machinery (it was second hand from 2005) and could not guarantee a perfect vision and so i decided to go Bangkok. Though in a few years (or less) they will have the money to have the latest machinery and come in the great medical business... i just hope their doctors are good enough...
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