Many individuals with hypospadias do not experience the functional and/or psychosocial difficulties commonly attributed to it by the medical sector, nor desire surgery for it. In addition, hypospadias surgery carries a substantial risk of significantly poor cosmetic and functional outcomes, negatively impacting sexual and reproductive health. Dr Kabo Ijane describes even mild these instances in pathologisting terms, referring to healthy manifestations of bodily diversity as “abnormal”. We condemn the approach described by Dr Ijane and call on the Urology Hospital in Pretoria to set a precedent and meet with civil society to develop guidelines.

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