The article reports:
She contends that the most important thing is for a child to feel loved by her parents, despite her difference. An operation, she says, should not be done to assuage parental embarrassment or anxiety; it should be chosen, if it is chosen at all, by an intersex individual who is old enough to make her own decision and give proper consent.
But getting families and Doctors to be open to letting the person make his or her own decision will be difficult even in today's social climate. The thought is that the problems the child might face growing up with ambiguous genitalia in some cases might be less than the need to correct an erroneous guess at the child's final gender identity.
Some of the medical guidelines are, well arbitrary. For instance babies with phallic structure (that's penises and clitorises) must be at least 2.5cm long on boys and shorter than 1.0 cm for girls. Since it is easier to make a vagina than reconstruct a penis those "phallic structures" in between are typically altered to be female in form.
The article notes that children seem to be able to determine what gender they are in one case studied by William Reiner, the article reports that a child assigned as female at birth, though she had been born male, leapt at the chance to identify as a boy saying:
Mom, I've been telling you: I'm a boy, and boys have short hair, so I cut off my hair.
Creighton, Sarah. Surgery for Intersex J R Soc Med. 2001 May; 94(5): 218-220
Another take on the NY Times article is at Jen Burke's Blog Transcending Gender:
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