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More recently, the opinion of many experts has shifted.

However, there may be problems with sex hormone levels, overall sexual development, and altered numbers of sex chromosomes.

Parents were told to have no ambiguity in their minds as to the gender of the child. Ovarian or testicular tissue from the other gender would be removed.

In general, it was considered easier to reconstruct female genitalia than functioning male genitalia, so if the "correct" choice was not clear, the child was often assigned to be a girl.

Chromosomal, neural, hormonal, psychological, and behavioral factors can all influence gender identity.

Many experts now urge delaying definitive surgery for as long as is healthy, and ideally involving the child in the gender decision.

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