堅持不懈的變革 - 現今的指南

• 對每一例反常的性器官，盡一切可能確切弄清楚病因。
• 從發現病例起，就要通知病患父母和與其商議，並為他們保守秘密。
• 一旦弄清楚病因與預後，儘早做出合適的性別指派(sex assignment )。
• 對不易確診的病例，性別指派(sex assignment )不是基於出生時的生理外觀，而是基於青春期之後最可能的最終發育狀況而定。
• 對一些疑難病例，當時就要制定出盡可能的最佳治療方案，但是要向病患家屬解釋清楚，這個孩子隨後可能會“轉換性別”(switch genders)，也就是說可能發展成另一個性別自認(即性別認同會和指派的性別相反——譯者注)。
• 只要有不能最後確診性別的情況發生，就要延遲填寫出生證上的性別一覽。可以適用模糊的短語來處理出生證等法律檔，像“鐘斯嬰兒”或“布郎寶寶”之類的描述，也可使用中性詞給孩子起名，像“特裏”、“珂姆”“法蘭西斯”諸如此類的名字。(在中國的實際運用中，中國人的中性名字，倒也值得我們仔細地研究研究——譯者注。)
• 不要僅為美容的理由而實施大型的性器官改造手術；而只為孩子將來健康著眼對症狀實施手術。要向孩子的父母解釋這種治療方案，因為他們可能想讓孩子“看起來正常”。即使孩子的外部性器官仍然明顯地異常，他們到了成年也可能會有滿意的生活。事實也是這樣，大多數的中間性症狀根本就不需要任何的外科手術。
• 為病患父母和患者本人開放長期的諮詢途徑。因為隨著年復一年的時間過去，他們可能需要偶爾或經常性的專業諮詢。
• 要做專業權威，但要避免充當專業的專橫獨斷者。要為病患家庭提供有用的知識，但是要切記：只有客戶能夠就她或他的性別認同做出最後的性別選擇決斷。
• 讓病患家庭與有關援助社團保持聯繫。

Continuing Changes - Current Guidelines

• In each case of atypical sex organs, make every effort to establish the probable cause.
• From the very beginning, inform and counsel the parents, and protect their confidentiality.
• Where cause and prognosis are clear, make the appropriate sex assignment as early as possible.
• In less obvious cases, base the sex assignment not on the physical appearance at birth, but on the most likely eventual outcome for the child after puberty.
• In very difficult cases, make the best decision possible at the time, but explain to the family that the child may later “switch genders”, i.e. develop another sexual self-identification.
• As long as there is no final diagnosis, delay entering the child’s sex in official records. Some indeterminate phrase like “Infant Jones” or “Baby Brown” may be used as well as gender-neutral first names like “Terry”, “Kim”, “Francis”, etc.
• Perform no major surgery for cosmetic reasons alone; only for conditions related to the child’s future health. Explain this decision to the parents who may want their baby to "look normal." Even if the external sex organs remain obviously atypical, a satisfying life in adulthood may very well be possible. Indeed, most intersex conditions do not need any surgery at all.
• Keep the door open for future consultation. Both parents and child may need occasional or regular counseling as the years go by.
• Be an authority, but avoid being authoritarian. Provide the best available information, but remember: Only the client can make the final decision about her or his sexual identity.
• Put the family in touch with a support group.