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Questions concerning the timing of normalizing surgery in cases of atypical genitalia have been contentious ones, with pediatric specialists (and often parents) preferring early surgery, and critics arguing for deferral of decisions. Early surgery is intended to secure children the benefits of “normal appearance” and has been assumed important for a child’s psychosocial development. There is only anecdotal evidence on the question of the timing of surgery and this evidence has been employed both to support and to challenge the assumption of the benefits of early surgery.

Misrepresentation of Evidence Favoring Early Normalizing Surgery for Atypical Sex Anatomies