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Sexual relations between same-sex consenting adults 16 and over have been legal in Cuba since 1979, although same-sex relationships are not presently recognised by the state. Despite elements of homophobia in Cuba's history, Havana now has a lively and vibrant gay scene. Public antipathy towards LGBT people is high, reflecting regional norms. This has eased somewhat since the 1990s. Educational campaigns on LGBT issues are currently implemented by the National Center for Sex Education, headed by Mariela Castro. Cuba is a country where citizens can have sex reassignment surgery for free.