The 1933 law created a large number of "Genetic Health Courts", consisting of a judge, a medical officer, and medical practitioner, which "shall decide at its own discretion after considering the results of the whole proceedings and the evidence tendered". If the court decided that the person in question was to be sterilised, the decision could be appealed to "Higher Genetic Health Court". If the appeal failed, the sterilization was to be carried out, with the law specifying that "the use of force is permissible".