Ugh. Most intersex persons regret the surgeries performed on them as
children to force their bodies to conform to a biological sex binary. To say that people born different have a moral and ethical "imperative" to transition is, with respect, horrifying to me. Just as you described trans persons undergoing debilitating sex change operations that can have lifelong complications, so too is it for intersex persons.
Unless they have a specific problem like inability to urinate, or unless they have the desire to pick a gender once they're adults, their bodies are fine and should be left alone. They are perfect. Just different. And that's not a sin.
I don't want to get too far off topic, but wanted to respond to this. Intersex individuals are in a completely different "category" than transgender individuals,and should not be lumped in together with those who have gender identity disorders.
I know it is tempting to put intersex individuals in the same category as transgenders, but they are not, and are not necessarily even appropriately categorized as LGBT until and unless they themselves identify as gay or bi when they are adults.
Intersex individuals are born with major birth defects of the the chromosomes, genitourinary, and reproductive systems. It is not a psychological condition like transgenderism-- these unfortunate infants are born with varying expression and severity of chromosomal and anatomic defects, which is often devastating information for their parents.
The most basic question any new parent asks is "is it a boy or girl?" When that can't be answered immediately, it is profoundly disturbing to the parents, in a very different way than other major birth defects. Depending on their culture and ethnicity, there can profound embarassment and shame initially, and an inability for some to explain the defect to their friends and family. These children and families should not be "shamed" into publicly raising their child as a "third gender", nor should legitimate medical and surgical care be with held from the child because progressive activists "demand" that no tissue be altered till the child is an adult. That is extremely cruel, and unethical,IMO. These kids are not props or "social justice accessories". They deserve the very basic "right" of being "assigned" a gender at birth-- even if that gender turns out to be "wrong" for the child later on as they grow. These kids DESERVE to have corrective genital surgery as soon as practical to establish a gender, so that they can live as NORMAL a life as possible, and not be a continuing source of curiosity during diaper changes and potty training at daycare, and in gym class, sleepovers, and locker rooms later on.
Med professionals will do everything possible to determine "which" gender is the most appropriate when making decisions with parents. They may choose "wrong" and that's a risk that has to be accepted as a consequence of the birth defect. And one that can be dealt with later on.
I am aware that there are some intersex activists that are promoting "remove no tissue" approach to care for these kids. I'm aware that there are some "angry" intersex activists who are very vocal. But they don't represent the entire spectrum of intersex individuals-- most of whom simply want to live their lives quietly and with privacy for their condition. Most intersex individuals are not at all interested in being props for a transgender social agenda-- intersex individuals have no control over their birth defect.
Transgenderism, on the other hand, is a psychological condition that has no objective diagnostic test other than behavior and self reporting. It is the only major psychological condition for which we currently advocate a collection of radical and permanent surgical and pharmacological therapies that have no proven benefit. In fact, several recent studies show that the rate of suicide among transgenders who have SRS is actually higher than those who do not-- particularly if the person does not continue lifelong psychiatric/ psychological care.
This is why it is so difficult for us to come to agreement with how we should accommodate transgender individuals in society. Despite all of what science and medicine has done to try to objectively demonstrate that there is something organically "different" about transgenders, there exists no
provable, reproducible scientific evidence that they are different, beyond the psychological aspects of their disorder.
There is one group of the opinion that simply says we "must" accept that transgenderism exists as a human variant, and because it is a variant, transgenders deserve special rights and protections, just because they say they "feel" transgendered.
Many others feel that while transgender people do in fact "feel" like the other gender, that this is not enough to consider them a "protected class" and deserving of "rights" that others don't have, or that others must give up rights so the transgenders "feel" more respected or protected.
It's my opinion that transgendered individuals have a serious and pervasive psychological condition, for which we have no real therapy to "fix" them. Gender identity disorders and gender dysphoria is a mental illness, not a physical condition (until we do surgery on them!). That's why GID/ GD is in the DSM in the first place.
We know that the best outcomes for these patients is substantial engagement in appropriate psychiatric/ mental health counseling
for their entire lives-- it is the ONLY intervention that has been proven to improve their health, decrease morbidity and mortality, and works to prevent suicide.
But for the last 30 years or so, hormone therapy and SRS has gained in popularity and social promotion, even though there
is not scientific, reproducible evidence that these cosmetic changes improve overall morbidity and mortality in that group. (I'll be happy to provide the scholarly studies if needed to support this.) But it's all we have, and since life long mental health care is very costly and "unsexy"-- it's far easier to simply promote the idea that hormones and cosmetic surgery will "fix" the condition, and lobby to have that covered by insurance, and promoted by organizations who have a vested interest in promoting these therapies. I think in the next 20-30 years we will see a marked pull back on the recommendations for adolescent hormone blockers, and an overall decrease in the number of SRS, as more studies are done to evaluate their effectiveness on morbidity and mortality in this population. The evidence just isn't there to support it in the way that it is for other valid therapies for medical conditions.