Gender reassignment surgery (GRS) at birth is not typically performed. GRS is a complex and irreversible surgery, and it is important to make sure that the child is old enough to understand the decision and its implications. Additionally, there is no guarantee that the child will continue to identify with the gender that they were assigned at birth.

In some cases, GRS may be performed at birth if the child is born with ambiguous genitalia. This is when the child’s genitals do not clearly fit into the categories of male or female. In these cases, the doctors may need to make a decision about the child’s gender assignment, and GRS may be part of that decision.

However, even in cases of ambiguous genitalia, GRS is not always performed at birth. In some cases, the doctors may wait until the child is older to make a decision about their gender assignment. This allows the child to have more input into the decision, and it also allows the doctors to have more information about the child’s development.

There are a number of ethical concerns about GRS at birth. Some people argue that it is wrong to make a decision about the child’s gender assignment before they are old enough to understand the decision. Others argue that GRS can have negative psychological consequences for the child, especially if they later decide that they do not identify with the gender that they were assigned at birth.

Ultimately, the decision of whether or not to perform GRS at birth is a complex one. There are a number of factors to consider, including the child’s medical condition, their family’s wishes, and the child’s own wishes.

Gender reassignment surgery at birth, also known as infant or pediatric gender-affirming surgery, is a highly controversial and ethically complex topic. The concept of performing irreversible surgeries on infants or young children to align their physical characteristics with a specific gender identity is a subject of significant debate within the medical community.

Currently, the standard of care for transgender individuals involves allowing them to explore their gender identity and express themselves before any irreversible medical interventions are considered. The World Professional Association for Transgender Health (WPATH) guidelines recommend a cautious and individualized approach to medical interventions, emphasizing the importance of informed consent, psychological well-being, and age-appropriate decision-making.

Most medical professionals and organizations advocate for allowing transgender individuals to reach an appropriate age and stage of development before making decisions about gender-affirming surgeries. This approach allows individuals to fully understand their gender identity, undergo appropriate psychological evaluation and counseling, and make informed choices regarding their transition.

It’s crucial to note that every individual’s journey and experience with gender identity is unique, and decisions regarding medical interventions should be made in collaboration with qualified healthcare professionals, mental health experts, and the individuals themselves, taking into account their autonomy, well-being, and long-term outcomes.