Abstract

In late 2005, 50 international experts spanning multiple medical specialties gathered to revisit treatment guidelines for infants born with intersex diagnoses (see “Consensus Statement on Management of Intersex Disorders”1 in this month’s Pediatrics Electronic Pages ). It marked the first time that physicians had so thoroughly revisited the medical standard of care for these diagnoses since psychologist John Money and his associates first proposed treatment standards for infants with intersex disorders in the 1950s.2,3 Participants agreed to recommend several important changes to care that demonstrate a significant shift in thinking regarding the treatment of infants with intersex disorders. Providing admirable recognition and caution, the guidelines stress that intersex conditions are not shameful, that psychological care should be integral to medical care, and that open communication with … Address correspondence to Katrina A. Karkazis, PhD, MPH, Center for Biomedical Ethics, Stanford University, 701 Welch Rd, Suite A1105, Palo Alto, CA 94304. E-mail: karkazis{at}stanford.edu

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