Manifestation of negative attitudes toward LGBT people, such as social exclusion, taunting, and violence, often cause the victims physical, psychological and emotional harm. On 26 May , the Constitutional Council of Kazakhstan declared a pending bill, which would have banned the "propaganda of nontraditional sexual orientation", unconstitutional. In , new guidelines were established and allowed change to identity documents only after sex reassignment surgery , physical and psychiatric medical examinations, hormone therapy and sterilization. In order to avoid the dangers posed by people who do not approve of non-heterosexual sexual orientations, many LGBT people feel compelled to keep their sexual orientation or gender identity a secret from almost all people in their lives. MSMs allowed to donate blood. LGBT people in Kazakhstan face discrimination and prejudice on the grounds of their sexual orientation or gender identity during the course of their everyday lives.