Physicians were required to fill out a birth certificate, making it impossible for a child to be adopted in the way in which midwives could carry this out.
[1] Kikuta created false birth certificates in order to circumvent the law, and had arranged 100 adoptions.
[1] This fact was discovered in 1973, when he put advertisements in local newspapers looking for people to adopt children and raise them as their own.
He appealed the revocation, but the court maintained that his action could have created a gray market in babies, and caused people to lose faith in the integrity of the koseki system.
He started to change his mind after meeting Mother Teresa and Shigeki Chiba in 1981, and being approached by Kenzo Tsujioka [ja] in 1985.