Referee César Noval is also a doctor and became known in Spain for leading an innovative sex reassignment surgery that marked a medical milestone.

The operation lasted करीब 17 hours and made it possible to carry out in a single intervention a procedure that usually required several operations spread over years.

At the same time, he was developing a career as a La Liga assistant referee. Just a few days after taking part in the complex intervention, he returned to the pitch to officiate Real Madrid.
During the week he performed delicate medical operations, and on weekends he patrolled the touchlines of Spain’s most important stadiums, calling offsides in front of thousands of spectators.
