Sex assignment

What criteria should be used?

What determines gender identity?

When (if ever) is gender identity fixed?

 

Genital reconstructive surgery

Is it necessary? (Why?)

When should it be done?

What are its benefits and risks?

 

Decision-making

Who makes the decisions?

When should decisions be made?

What information is used to make the decisions?

What support is available?

 

Information-sharing

What are the parents told at the time of diagnosis and decision-making?

What does the child learn and when?

What support is available?

What is the best way to share information?

 

Involvement of mental health professionals

Should psychologists or psychiatrists be part of the diagnosis and treatment team?

Does counseling to families facilitate decision-making?

Does routine and continuing counseling to patients and families improve outcome?