3-year-old baby hermaphroditism after surgery as a daughter body 3-year-old Rui (a pseudonym) is a boy or a girl? This question has always been a “heart problem” for her parents. Because the child was born with two sets of reproductive system, so Xiao Rui’s gender was delayed to find out. On the eve of Chinese New Year, in the pediatric surgery department of the downtown hospital, doctors operated to make Rui a real “girl”. For 3 years, she has been treated as a “girl” Xiao Rui was brought to the hospital by her parents, wearing flowery clothes, tied with long braids, very cute, from the outward appearance can not be seen what is different. Ms. Chen said that the child was found to be different right after birth. I wanted to treat it immediately, but the local doctor said the child was too young and the timing was not right for surgery. Except for the reproductive system, which is different from other children, Rui has been healthy in other aspects over the past few years. The family has been raising Rui as a girl, in accordance with their wishes. For the child’s real gender, Ms. Chen said the family has been unable to figure out, because it is impossible to distinguish from the appearance alone. “The child is small, we say she is a girl, but also has been the child according to the girl’s dress, she thinks she is a girl.” After the child passed the age of 3, Ms. Chen and her husband felt that they could not delay any longer and came to the pediatric surgery department of the downtown hospital before the Spring Festival. With special chromosomes For Rui’s case, the deputy director of pediatric surgery, deputy chief physician Zhou Xuewu found that the test results show that Rui has two sets of reproductive systems for men and women. In addition to having two sets of male and female external reproductive systems, Rui has a uterus, ovaries, testicles, etc., including accessories are very complete. Only Xiao Rui’s male external reproductive system was a bit underdeveloped, and her testicles were in her groin. “In similar situations, some of the two reproductive systems are incomplete, but Rui’s two reproductive systems are intact. This is a pediatric hermaphroditism.” According to the report, hermaphroditism is a gender anomaly caused by abnormal differentiation during embryonic development, which is generally typed as male pseudo-hermaphroditism, female pseudo-hermaphroditism and true hermaphroditism based on the inconsistency of sex chromosomes, chromatin, gonads and external genitalia. In normal cases, the female sex chromosome is XX and the male sex chromosome is XY. Further tests showed that Rui’s sex chromosome is XXY, which in technical terms is a “chromosomal chimera”. The results of the test showed that Xiao Rui was more suitable to be a girl. Zhou Xuewu said, from the results of the examination, Rui can choose to be either a boy or a girl. After discussing with her husband, Ms. Chen made up her mind: let Rui be a girl. Ms. Chen explained the reason for this choice: on the one hand, Xiao Rui has been raised as a girl for a long time, and if Xiao Rui becomes a boy, she is afraid that the child will be confused about gender awareness. Zhou Xuewu supported Rui’s parents’ decision. He explained that the development of Xiao Rui’s male external reproductive system is not ideal, and the testicles, which are in the groin, are not very well developed. ”The child has two sets of reproductive systems that secrete both estrogen and androgen. From the examination results, estrogen overwhelmed androgen, partially inhibiting the further development of the child’s male reproductive system. Zhou Xuewu said, in addition to physical conditions, since the child has been raised as a girl by her family since birth, it is better to continue to let Xiao Rui be a girl. The expert reminded: the correction of hermaphroditism should be around 2 years old After careful preparation, Zhou Xuewu led his team to perform the surgery for the correction of hermaphroditism for Xiao Rui, which included gonadal biopsy, laparoscopic exploration, orchiectomy, clitoral shortening, etc. The surgery went smoothly. Xiao Rui has been discharged from the hospital. Thanks to the laparoscopic technique, Xiao Rui’s abdomen was only minimally traumatized and the scars were barely visible. Zhou Xuewu is also very happy that Xiao Rui’s surgery ended successfully. However, he said, it would have been better if Rui had come earlier, “around 2 years old to operate the best results. Because children around 2 years old are not yet gender conscious.” He also suggested that hermaphroditism is mostly a congenital disease and there is no clear method or medicine to prevent it. Pregnant women should undergo scientific perinatal care and regular prenatal checkups during the perinatal period to avoid abnormal hormone levels affecting fetal development. Choosing the appropriate surgical procedure according to the patient’s gender, family and the patient’s wishes will help the patient recover and form a normal personality.