hrp0098p1-194 | Sex Endocrinology and Gonads 2 | ESPE2024

Consequences for treatment following the German Act on the Protection of Children with Differences in Sexual Development (DSD)

Neumann Uta , Döhnert Ulla , Holterhus Paul-Martin , Wölfle Joachim , Wabitsch Martin , Eckoldt Felicitas , Ludwikowski Barbara , Binder Gerhard , Dunstheimer Désirée , Richter-Unruh Annette , Kamrath Clemens

Introduction: As of May 2021, German law protects children with differences of sex development (DSD), including females with congenital adrenal hyperplasia (CAH), from non-consensual genital surgery. Parents can consent only in emergencies; all other surgeries require the child's consent. Exceptions are allowed by law, with the approval of the family court following a positive decision by a multidisciplinary committee. If the family presents a positive de...