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It became a key term in the Consensus Statement process, during which some intersex community groups agreed to use it because it was an effective way to communicate with medical providers. Asked if the doctors discussed how gender identity developed, she told Human Rights Watch: They are aware of that. When they called the urologist to cancel the appointment he responded: Other practitioners linked the decision to do surgery on an intersex child or not with assumptions about gender identity and mental health outcomes such as suicide attempts.

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This approach fails to draw a distinction between the kinds of decisions parents routinely make for their children, and decisions about a controversial surgery that has irreversible lifelong consequences.

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Parents interviewed for this report who elected cosmetic surgeries on their children expressed mixed views. Within weeks they were connected to a counselor and a support group, and began to hear from other parents that surgery was not necessarily required or recommended. What's the risk of surgery? Nationwide data on how prevalent surgeries are on intersex children do not exist. And in that setting, unfortunately, you have to make a decision.

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