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For decades, surgeons advocated operating early because it had better medical success and provided a consistent gender identity. This was often successful and many patients reported living satisfying lives. Women have two X chromosomes and men have a single X from their mother and a male-specific Y from their father. Chromosomes and sex development Genetic differences between men and women lie in sex chromosomes. Many babies are born with a genetic variant that leads to ambiguous sexual development. Jenny Graves , La Trobe University. Adults are sometimes no more accepting; in some Asian and African countries families with DSD children may be ostracised and children neglected or killed.

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