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The surgical management of DSD/CAH is one of the most complex problems a pediatric urologist will encounter. Furthermore, this surgery remains quite controversial and has been featured by nearly every major television and print media network. The parents must be made aware of these controversies and to understand the pros and cons, not only of having surgery but also of not having surgery. They should also be made aware of the options for timing of surgery: neonatal versus pubertal, with the advantages and disadvantages of each. The parents should be made aware of and also have access to support groups such as the CARES Foundation and Accord Alliance.
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