The care of people with Differences and Disorders of Sex Development (DSD) is a complex and evolving field within medicine, one that intersects biology, genetics, endocrinology, surgery, psychology, ethics, and even society at large. For decades, this has been guided by shifting paradigms—moving from a heavily medicalized and often paternalistic approach towards one that emphasizes shared decision-making, patient autonomy, and recognition of human diversity. This transition reflects not only