Anne Tamar-Mattis, the executive director for Advocates for Informed Choice, argues that intersex individuals should not be classified as having a psychological disorder if their initial assigned gender is not the gender they feel they are.

Having this diagnosis in the DSM will also create other legal and medical problems for people with DSD who wish to change their gender assignment:

  • It will make it harder to change gender identity on official documents.So far, Advocates for Informed Choice has been able to argue that barriers that make it harder for transgender people to change their identity documents shouldn’t apply to intersex people because they don’t have a gender identity disorder. So, for example, where a transgender person might have to have genital surgery in order to change identity documents, we have successfully argued that the requirement shouldn’t apply to a person with a DSD.
  • It will make discrimination easier.In most states, where it is legal to discriminate against transgender people, discrimination against intersex people may still be prohibited under the Americans with Disabilities Act. But the ADA specifically excludes people with gender identity disorder from its protection.
  • It will decrease access to health care.Many health insurance policies specifically exclude gender assignment treatment for gender identity disorder. People with DSD have successfully argued that the exclusion shouldn’t apply to them, since by definition they don’t have a gender identity disorder.