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<p>The care of children and adolescents with differences of sex development (DSD) has undergone fundamental changes over the past two decades. While former approaches primarily focused on surgical normalization, contemporary care emphasizes multidisciplinary, participatory models prioritizing psychosocial support, transparent communication, and respect for autonomy. However, significant controversies persist regarding indications for non-vital surgical interventions in childhood without the child’s informed consent. International human rights organizations increasingly advocate for legal restrictions on such procedures, while specialized medical teams prefer individualized decision-making processes considering the child’s best interests. Current legal developments across European countries reflect diverse approaches, from the ban of surgery in minors to procedural protective measures by multidisciplinary evaluation. Major challenges comprise inadequate implementation of psychosocial care, limited long-term outcome data for different treatment strategies, and the need for culturally sensitive approaches. Registries and international collaborations represent a&#xa0;cornerstone for evidence-based care. Peer support and stakeholder involvement are increasingly recognized as integral components of high-quality care, with constructive collaboration among all parties being essential for sustainable improvements in DSD care outcomes.</p>

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Update zur multidisziplinären Versorgung von Kindern mit Varianten der Geschlechtsentwicklung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月17日

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  • Stefan Riedl,
  • Elena Gottardi-Butturini,
  • Veronika Riedl-Schlauss,
  • Alexander Springer,
  • Bernhard Haid

摘要

The care of children and adolescents with differences of sex development (DSD) has undergone fundamental changes over the past two decades. While former approaches primarily focused on surgical normalization, contemporary care emphasizes multidisciplinary, participatory models prioritizing psychosocial support, transparent communication, and respect for autonomy. However, significant controversies persist regarding indications for non-vital surgical interventions in childhood without the child’s informed consent. International human rights organizations increasingly advocate for legal restrictions on such procedures, while specialized medical teams prefer individualized decision-making processes considering the child’s best interests. Current legal developments across European countries reflect diverse approaches, from the ban of surgery in minors to procedural protective measures by multidisciplinary evaluation. Major challenges comprise inadequate implementation of psychosocial care, limited long-term outcome data for different treatment strategies, and the need for culturally sensitive approaches. Registries and international collaborations represent a cornerstone for evidence-based care. Peer support and stakeholder involvement are increasingly recognized as integral components of high-quality care, with constructive collaboration among all parties being essential for sustainable improvements in DSD care outcomes.