[Adoption in China of children with special needs: the "green passage"]

Requests of international adoption in China can be processed by the ordinary way and by the so-called way "green passage" (GP). All the children for adoption by the GP have special needs because to suffer from congenital malformations, chronic diseases or development disabilities that will need medical or surgical treatment and a specialized monitoring in the adoptive country. The medical literature warns that the preadoptive medical records from China do not offer absolute guarantee of veracity. This problem has been observed in adoptions by the ordinary way of children diagnosed like healthy, but also it can happen in children for adoption by the GP. The clinical cases of three children with special needs recently assigned to Spanish families are presented. We think that in all the assignations of children with special needs from China, the Adoption Organizations must offer to the families the complete medical records, the certified results of the laboratory tests and the pictures so that, of exclusive and absolutely confidential manner, they consult with specialized doctors in order to obtain the highest information of the health problems and to value the medical prognosis before taking a decision on the acceptance of the adoption.