Birth Certificates can be Changed; Surgery is Forever

By Elizabeth Reis

We shouldn’t get too enthusiastic about Germany’s new birth certificate designation: “indeterminate.” Because the category will be an obligatory designation for babies born with ambiguous genitals (commonly known as intersex), the law might do more harm than good. Most infants are born with seemingly uncomplicated gender designations; we look at their genitals and decide their sex and their gender in an instant. Of course, not everyone grows up to agree with the gender they were assigned at birth. Transgender people grow up feeling out of sync with the gender they were assigned, even though the decision for most of them seemed perfectly straightforward at the time.

The Flip-flop over Foreskin

This is a guest post by Elizabeth Reis, professor of women’s and gender studies at the University of Oregon. Professor Reis is the author of Bodies in Doubt: An American History of Intersex (Johns Hopkins University Press, 2009). This year (2012-2103) she is a visiting scholar in the History of Science Department at Harvard University.

The American Academy of Pediatricians recently released a statement saying that the health benefits of circumcision outweighed the risks. This pronouncement contradicts the Academy’s earlier ruling, just thirteen years ago in 1999, which stated unequivocally that the health benefits of the procedure were slim. The 1999 statement reversed a previous one made in 1989 that said there were good medical reasons for it; but a few years earlier, in 1971, the Academy had officially concluded that it was not a medical necessity. Clearly, circumcision is one of those surgeries about which opinion shifts back and forth over the years.