ABSTRACT

A child with ambiguous genitalia must be evaluated immediately at birth. The gender that is appropriate to the anatomy of the infant must be assigned as early as possible, as new parents are asked about the sex of the child as soon as the birth is known. They must be able to give an answer that is commensurate with the gender assignment that will eventually provide the most satisfying functional result. Surgical correction must then be done at the appropriate time so that confusion about sex is not prolonged, and subconscious rejection of the child is less likely to occur.