▁a ▁pen is ) ▁for ▁trans ▁men . ▁Trans ▁women ▁may ▁also ▁benefit ▁from ▁hair ▁removal ▁and ▁fa cial ▁femin ization ▁surg ery , ▁while ▁some ▁trans ▁men ▁may ▁have ▁li pos u ction ▁to ▁remove ▁fat ▁depos its ▁around ▁their ▁h ips ▁and ▁th igh s . ▁ ▁Hij ra , ▁a ▁third ▁gender ▁found ▁in ▁the ▁Indian ▁sub cont inent , ▁may ▁opt ▁to ▁under go ▁cas tr ation . ▁ ▁In vol unt ary ▁sex ▁assignment ▁ ▁Inter sex ▁children ▁and ▁children ▁with ▁ambigu ous ▁gen ital ia ▁may ▁be ▁subject ed ▁to ▁sur ger ies ▁to ▁" normal ize " ▁the ▁appearance ▁of ▁their ▁gen ital ia . ▁These ▁sur ger ies ▁are ▁usually ▁performed ▁for ▁cos met ic ▁benefit ▁rather ▁than ▁for ▁th era pe ut ic ▁reasons . ▁Most ▁sur ger ies ▁involving ▁children ▁with ▁ambigu ous ▁gen ital ia ▁are ▁sex ually ▁dam aging ▁and ▁may ▁render ▁them ▁infer t ile . ▁For ▁example , ▁in ▁cases ▁involving ▁male ▁children ▁with ▁mic rop enis , ▁do ctors ▁may ▁recommend ▁the ▁child ▁be ▁re ass igned ▁as ▁female . ▁The ▁Inter sex ▁Society ▁of ▁North ▁America ▁objects ▁to ▁elect ive ▁sur ger ies ▁performed ▁on ▁people ▁without ▁their ▁informed ▁consent ▁on ▁grounds ▁that ▁such ▁sur ger ies ▁subject ▁patients ▁to ▁unnecessary ▁harm ▁and ▁risk . ▁ ▁In ▁some ▁cases , ▁a ▁child ' s ▁gender ▁may ▁be ▁re ass igned ▁due ▁to ▁gen ital ▁injury . ▁There ▁have ▁been ▁at ▁least ▁seven ▁cases ▁of ▁health y ▁male