{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T10:15:37Z","timestamp":1776161737372,"version":"3.50.1"},"reference-count":21,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpagonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric and Adolescent Gynecology"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.jpag.2025.10.006","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T16:02:37Z","timestamp":1760544157000},"page":"202-208","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Age-related Trends and 30-day Postoperative Complications in Variations in Sex Characteristic-related Procedures: A National Surgical Quality Improvement Program Study"],"prefix":"10.1016","volume":"39","author":[{"given":"Frances","family":"Grimstad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ava","family":"Scatoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth R.","family":"Boskey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"7","key":"10.1016\/j.jpag.2025.10.006_bib0001","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1089\/lgbt.2021.0018","article-title":"The health care of adults with differences in sex development or intersex traits is changing: time to prepare clinicians and health systems","volume":"8","author":"Grimstad","year":"2021","journal-title":"LGBT Health"},{"issue":"2","key":"10.1016\/j.jpag.2025.10.006_bib0002","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1002\/pd.6323","article-title":"Prenatal screening and diagnosis of sex chromosome conditions: the new normal?","volume":"43","author":"Hui","year":"2023","journal-title":"Prenat Diagn"},{"issue":"2","key":"10.1016\/j.jpag.2025.10.006_bib0003","doi-asserted-by":"crossref","first-page":"e488","DOI":"10.1542\/peds.2006-0738","article-title":"Consensus statement on management of intersex disorders","volume":"118","author":"Lee","year":"2006","journal-title":"Pediatrics"},{"issue":"4","key":"10.1016\/j.jpag.2025.10.006_bib0004","first-page":"284","article-title":"Hermaphroditism: recommendations concerning assignment of sex, change of sex and psychologic management","volume":"97","author":"Money","year":"1955","journal-title":"Bull Johns Hopkins Hosp"},{"issue":"2","key":"10.1016\/j.jpag.2025.10.006_bib0005","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1038\/s41443-021-00422-x","article-title":"Psychosocial care and support in the field of intersex\/diverse sex development (DSD): counselling experiences, localisation and needed improvements","volume":"33","author":"Lampalzer","year":"2021","journal-title":"Int J Impot Res"},{"key":"10.1016\/j.jpag.2025.10.006_bib0006","series-title":"Fixing Sex: Intersex, Medical Authority, and Lived Experience","author":"Karkazis","year":"2008"},{"issue":"12","key":"10.1016\/j.jpag.2025.10.006_bib0007","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1093\/abm\/kaad047","article-title":"Medical mistrust mediates the relationship between nonconsensual intersex surgery and healthcare avoidance among intersex adults","volume":"57","author":"Wang","year":"2023","journal-title":"Ann Behav Med"},{"issue":"1","key":"10.1016\/j.jpag.2025.10.006_bib0008","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/14777509231180412","article-title":"Fixing bodies and shaping narratives: epistemic injustice and the responses of medicine and bioethics to intersex human rights demands","volume":"19","author":"Carpenter","year":"2024","journal-title":"Clin Ethics"},{"key":"10.1016\/j.jpag.2025.10.006_bib0009","article-title":"Intersex care at Lurie Children\u2019s and our sex development clinic","author":"Shanley","year":"2020","journal-title":"Lurie Children\u2019s Blog"},{"key":"10.1016\/j.jpag.2025.10.006_bib0010","article-title":"Boston Children\u2019s will stop performing some intersex surgeries","author":"Zieselman","year":"2020","journal-title":"interACT: Advocates for Intersex Youth"},{"issue":"3","key":"10.1016\/j.jpag.2025.10.006_bib0011","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.jpurol.2016.04.001","article-title":"Surgery in disorders of sex development (DSD) with a gender issue: if (why), when, and how?","volume":"12","author":"Mouriquand","year":"2016","journal-title":"J Pediatr Urol"},{"key":"10.1016\/j.jpag.2025.10.006_bib0012","unstructured":"American College of Surgeons: National Surgical Quality Improvement Program - Pediatric Participant Use Data File User Guide [Internet]. Available: https:\/\/www.facs.org\/media\/xxxnl4vz\/peds_nsqip_userguide_2021.pdf."},{"issue":"2","key":"10.1016\/j.jpag.2025.10.006_bib0013","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1093\/jpepsy\/jsn066","article-title":"Infants\u2019 and toddlers\u2019 remembering and forgetting of a stressful medical procedure","volume":"34","author":"Lindholm","year":"2009","journal-title":"J Pediatr Psychol"},{"issue":"9","key":"10.1016\/j.jpag.2025.10.006_bib0014","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1016\/j.jpedsurg.2019.11.011","article-title":"Risk factors for the development of medical stress syndrome following surgical intervention","volume":"55","author":"Ben-Ari","year":"2020","journal-title":"J Pediatr Surg"},{"issue":"8","key":"10.1016\/j.jpag.2025.10.006_bib0015","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1016\/j.jpedsurg.2017.10.043","article-title":"Surgical procedures and pediatric medical traumatic stress (PMTS) syndrome: assessment and future directions","volume":"53","author":"Ari","year":"2018","journal-title":"J Pediatr Surg"},{"issue":"2","key":"10.1016\/j.jpag.2025.10.006_bib0016","doi-asserted-by":"crossref","first-page":"78","DOI":"10.5582\/irdr.2023.01027","article-title":"Urogenital sinus malformation: from development to management","volume":"12","author":"Ding","year":"2023","journal-title":"Intractable Rare Dis Res"},{"issue":"3","key":"10.1016\/j.jpag.2025.10.006_bib0017","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/0971-9261.83483","article-title":"Bladder exstrophy: an overview of the surgical management","volume":"16","author":"Bhatnagar","year":"2011","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"10.1016\/j.jpag.2025.10.006_bib0018","article-title":"Manuscript- revision vaginoplasty with robotic assistance for obliterated neovagina","volume":"20","author":"Pinkhasov","year":"2023","journal-title":"Urol Video J"},{"issue":"1","key":"10.1016\/j.jpag.2025.10.006_bib0019","doi-asserted-by":"crossref","first-page":"e36","DOI":"10.1097\/AOG.0000000000003616","article-title":"Elective Female Genital Cosmetic Surgery: ACOG Committee Opinion, Number 795","volume":"135","year":"2020","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.jpag.2025.10.006_bib0020","unstructured":"American College of Obstetricians and Gynecologists, American Gynecological and Obstetrical Society, American Medical Women\u2019s Association, et al: Joint Statement on Reports of Hysterectomies Performed Without Consent. September 2020. Available: https:\/\/www.acog.org\/en\/news\/news-releases\/2020\/09\/joint-statement-on-reports-of-hysterectomies-performed-without-consent. Accessed January 3, 2022."},{"key":"10.1016\/j.jpag.2025.10.006_bib0021","doi-asserted-by":"crossref","unstructured":"Mar S, Indig G, McNamara M, et al: Intersex exceptions in U.S. laws restricting medical care for transgender minors. MedRxiv. 2025.","DOI":"10.1101\/2025.04.22.25326142"}],"container-title":["Journal of Pediatric and Adolescent Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318825003651?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1083318825003651?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T09:16:32Z","timestamp":1776158192000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1083318825003651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S1083318825003651"],"URL":"https:\/\/doi.org\/10.1016\/j.jpag.2025.10.006","relation":{},"ISSN":["1083-3188"],"issn-type":[{"value":"1083-3188","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Age-related Trends and 30-day Postoperative Complications in Variations in Sex Characteristic-related Procedures: A National Surgical Quality Improvement Program Study","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric and Adolescent Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpag.2025.10.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}