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ABSTRACT
People born with intersex conditions experience trauma and stigma that have not been fully recognized by the medical and therapeutic professions. Current treatment protocols require rapid diagnosis followed by surgical alteration of infants born with ambiguous genitalia which has led to a lack of thorough attention to the psychosocial issues faced by these children and their families. Histories of surgery and silence have left children and families unable to address many of the traumas associated with intersexuality, including stigma, shame, surgical complications, and potential questions about sexual and gender identity. This article outlines recommendations for alternative treatment protocols. In addition to withholding unnecessary surgeries until children born with disorders of sex development are old enough to be involved in decisions regarding their medical treatment, this approach calls for the inclusion of social workers and other mental health experts as part of an interdisciplinary treatment team to serve as advocates, educators, psychotherapists and family systems experts, addressing ongoing issues in the lives of families and children living with intersex conditions.