Intersex people in the United States have some of the same rights as other people, but with significant gaps, particularly in protection from non-consensual cosmetic medical interventions and violence, and protection from discrimination. Actions by intersex civil society organizations aim to eliminate harmful practices, promote social acceptance, and equality. In recent years, intersex activists have also secured some forms of legal recognition. Since April 11, 2022 US Passports give the sex/gender options of male, female and X by self determination. History Early accounts of intersex people in North America include those of English immigrant Thomas(ine) Hall, in 17th-century colonial Virginia and 19th-century Connecticut intersex man Levi Suydam, pronounced male and so eligible to vote. Early common law, like canon law, held that hermaphrodites were to be treated as male or female depending on the prevailing sex. In September 2017, an intersex and non-binary student, Scout Schultz was shot dead at the Georgia Institute of Technology. In November 2017, Betsy Driver became the first intersex person openly elected to public office in the United States. Driver was elected as a council person in the New Jersey city of Flemington. Driver is the second publicly intersex person elected to office, following Tony Briffa in Australia. Intersex medical interventions Since the mid-twentieth century, U.S. physicians have considered intersex status in infants a "psychosocial emergency" and performed "normalizing" or "reconstructive" genital surgery without considering non-surgical alternatives (e.g., counseling). When deciding whether to assign the intersex infant "male" or "female," the factors typically considered are potential for fertility and sexual penetration. These surgeries still continue in the U.S. today despite being medically unnecessary (that is, chiefly cosmetic) and potentially injurious to the patient's sexual pleasure. The intersex movement The U.S. intersex movement developed in the 1990s and 2000s, through the establishment of the Intersex Society of North America (ISNA) and the AIS Support Group USA (now called AISDSD) in the 1990s, and Advocates for Informed Choice (now interACT), Bodies Like Ours, Intersex Initiative, and Organisation Intersex International, (now the Intersex Campaign for Equality) in the following decade. The Intersex Society of North America (ISNA) was a non-profit advocacy group founded in 1993 by Cheryl Chase to end shame, secrecy, and unwanted genital surgeries. Amongst other activities, it published the journal Hermaphrodites with Attitude. Intersex activism between the late 1990s and mid 2000s led from demonstrating outside a national pediatric conference, to speaking inside clinical conferences,