1 The younger the sex, the better. Generally, it is necessary to clarify the gender at the age of 2-3.

2. Gender orientation should be comprehensively determined by combining social gender, psychological gender, physiological gender, parents and patients' wishes.

The surgical treatment of hermaphroditism is mainly plastic surgery of external genitalia, including penile plasty, vaginoplasty, hypospadias repair, clitoris labiaplasty and vaginal orifice enlargement.

Surgical treatment of male pseudohermaphroditism The male external genitalia should be shaped according to the male sex, and only penile straightening and urethroplasty are needed. The female internal genitalia on the cryptorchidism side should be removed without affecting the male reproductive tract. If the external genitalia looks like a male, the sex should be determined according to the development of penis and testis, and the external genitalia should be shaped according to male or female. Vaginoplasty was performed after bilateral testicles were removed in patients with feminized testicles.

5. Female pseudohermaphroditism patients in clitoral hypertrophy should undergo clitoris reduction plastic surgery as soon as possible. Most of the enlarged ventral clitoris was removed, and only the dorsal clitoris tissue (1/3) and the neurovascular bundle connected with it were preserved, and the clitoris was formed and sutured. The patients with extravaginal stenosis were treated with enlarged operation, and the upper opening of vagina was enlarged, and the labial flap or pudendal groove flap was transferred and inserted to repair the wound.

6 true hermaphroditism, as a male, should remove the ovarian tissue, at the same time remove the fallopian tube, uterus and enlarged breast, and close the vaginal mucosa after peeling. If it is a woman, it is necessary to remove testicular tissue and perform plastic surgery on the enlarged clitoris.