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In 2019, the year after Lijian says he was hospitalised, the Chinese Medical Doctor Association updated its ECT guidelines, stating it should only ever be administered with consent, and under general anaesthetic.

"But because of her needs and that she would not be able to sit still, then the procedure would have to be done under general anaesthetic," he said.

This most often happens under general anaesthetic in an operating theatre, and can involve extensive liposuction, with large volumes of fat being transferred.

Ms Hooper asked for the procedure to be stopped and it was rescheduled – this time under general anaesthetic.

Hector was rushed to hospital where the blisters were popped before his wounds were cleaned under general anaesthetic to prevent infection.