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But reports of the success of John/Joan were premature-indeed, they were wrong.

Diamond and Sigmundson recently interviewed the person in question, now an adult, and report that Joan had in fact chosen to resume life as John at age fourteen.

A number of events have lately aroused substantial public interest in intersexuality (congenital “ambiguous sex”) and “reconstructive” genital surgery.

Perhaps the most sensational of these is the recent publication of unexpected longterm outcomes in the classic and well-known “John/Joan” case.

They believed that Joan and the family would need help adjusting to her new gender, but that full (or near-full) adjustment could be achieved.

by Alice Domurat Dreger Republished with kind permission from The Hastings Center Report May/Jun 1998, Volume 28, Issue 3 Pages 24-35.

Subject terms: “Medical ethics,” Surgery, Sexes, Reproductive system, Child development, Babies Ethical issues in the treatment of intersexuality are examined.

John, now an adult, is married to a woman and, via adoption, is the father of her children.

John and his mother report that in the Joan-years, John was never fully comfortable with a female gender identity.

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