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Does VA distinguish between transsexual gender-confirmation surgery and intersex surgery?

Yes. The Directive is very clear on this: the prohibition on providing for surgery does not apply to veterans with intersex conditions who need surgery to “correct inborn conditions related to reproductive or sexual anatomy or to correct a functional defect.” VHA is able to allow intersex treatments because the regulation barring sex reassignment surgery does not have any application to intersex conditions, and VHA is aware of the difference between transgender and intersex veterans.

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