What happens when a baby is born with ambiguous genitalia or a combination of male and female body parts? Clinicians and parents in these situations are confronted with complicated questions such as whether a girl can have XY chromosomes, or whether some penises are too small for a male sex assignment. Since the 1950s, standard treatment has involved determining a sex for these infants and performing surgery to normalize the infant's genitalia. Over the past decade intersex advocates have mounted unprecedented challenges to treatment, offering alternative perspectives about the meaning and appropriate medical response to intersexuality and driving the field of those who treat intersex conditions into a deep crisis. Katrina Karkazis offers a nuanced, compassionate picture of these charged issues in Fixing Sex, the first book to examine contemporary controversies over the medical management of intersexuality in the United States from the multiple perspectives of those most intimately involved.

Drawing extensively on interviews with adults with intersex conditions, parents, and physicians, Karkazis moves beyond the heated rhetoric to reveal the complex reality of how intersexuality is understood, treated, and experienced today. As she unravels the historical, technological, social, and political forces that have culminated in debates surrounding intersexuality, Karkazis exposes the contentious disagreements among theorists, physicians, intersex adults, activists, and parents--and all that those debates imply about gender and the changing landscape of intersex management. She argues that by viewing intersexuality exclusively through a narrow medical lens we avoid much more difficult questions. Do gender atypical bodies require treatment? Should physicians intervene to control the sex of the body? As this illuminating book reveals, debates over treatment for intersexuality force reassessment of the seemingly natural connections between gender, biology, and the body.

"I couldn't put "Fixing Sex" down once I started it! Masterfully balancing all aspects of one of the most polarizing, contentious topics in medicine, this thoughtful book is destined to become the most recent authoritative treatise on intersex. Non-medical persons will find it easily digestible, yet it is a 'must-read' for every pediatrician and pediatric subspecialist caring for children with disorders of sex development."--Kenneth C. Copeland, M.D., Jonas Professor of Pediatrics, University of Oklahoma College of Medicine, and former President of the Lawson Wilkins Pediatric Endocrine Society

"This meticulous, sensitive, and brilliantly executed book will transform our knowledge of intersexuality, gender, and the ethnographic study of medical practice."--Gayle Rubin, Assistant Professor of Anthropology and Women's Studies, University of Michigan

"The cultural rules of gender are complex, and they are never more tested than in the case of intersex. "Fixing Sex "is a huge addition to the field, encompassing as it does the views of clinicians, patients, parents, and others. The topic is intrinsically interesting, but Katrina Karkazis's wonderful writing makes this a compelling story and a great read."--Abraham Verghese, M.D., author of "The Tennis Partner" and Senior Associate Chair for the Theory and Practice of Medicine, Stanford University

"With her fascinating field data, Katrina Karkazis exposes the contentious disagreements among theoreticians, physicians, intersex adults, and parents--and all that those debates imply about the changing landscape of gender and intersex management."--Suzanne J. Kessler, author of "Lessons from the Intersexed"

"This book is a velvet-gloved punch to the gut. "Fixing Sex" is astonishing, a tale told straight from the mouths of affected adults, parents, and physicians in tender and lyrical prose. It resonated deeply with my memories of motherhood in the disorders of sex development community. But the chapters devoted to clinicians made me weep. A physician myself, I remember my disbelief as the worlds of intersex and medicine collided in my own family. An extraordinary book for a wide audience, it is a huge step toward reconciliation and spiritual healing for its protagonists."--Arlene B. Baratz, M.D., family and medical consultant, Androgen Insensitivity Syndrome Support Group and Accord Alliance