During this evolution in care, cosmetic surgeries on intersex children’s genitals have become highly controversial within the medical community.

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Procedures that could be delayed until intersex children are old enough to decide whether they want them are instead performed on infants who then have to live with the consequences for a lifetime.

In this report, based on interviews with intersex adults, parents of intersex children, and medical practitioners working with intersex people, inter ACT and Human Rights Watch document the fall-out from that medical paradigm, and the failure of the medical community to regulate itself effectively.

He said no, so she waited in the parking lot until he left that night, broke in, and stole them.

I just sat in the parking lot and didn’t even read them at first—I just put them in date order,” Ruth said.

© 2017 Human Rights Watch Reader Advisory: This report contains graphic descriptions of traumatic experiences, often affecting children.

Intersex people in the United States are subjected to medical practices that can inflict irreversible physical and psychological harm on them starting in infancy, harms that can last throughout their lives.And the second thing was: these fucking bastards lied to me all the time, there are other people out there like me. I was totally enraged that that had been kept from me.Why would you deliberately try to make a person feel like a freak? I’ve got the knowledge and they can’t hide it from me, I can protect myself now. Did she know this and was part of a keep-it-from-Ruth thing? He said her mother had asked him not to tell Ruth, and that he was “just following the standards of care.” Ruth said: “That was when I realized that this way I was treated was never about me—it was about my doctor and my parents and everyone feeling uncomfortable with how my body was….Other operations include gonadectomies, or the removal of gonads, which result in the child being forced onto lifelong hormone replacement therapy.This history of surgery was also a history of shame and stigmatization.Ruth, now 60, spent much of her youth questioning the constant medical attention, including surgeries, she received in her early childhood in the 1960s.