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Aaronson was aware of the controversy surrounding the procedure. “Carrying out a feminizing genitoplasty on an infant who might eventually identify herself as a boy would be catastrophic,” he wrote in a medical journal in 2001. He acknowledged the arguments that surgery on infants should be postponed, but concluded, “most parents are disturbed by the appearance of the genitalia and request that something be done as soon as possible so that their baby ‘looks normal.’”<ref>http{{REFjournal |last=Aaronsen |first=Ian |author-link= |etal=no |title=The Investigation and Management of the Infant withAmbiguous Genitalia: A Surgeon’s Perspective |trans-title= |language=English |journal=Curr Probl Pediatr |location= |date=2001-07 |volume=38 |issue= |pages=168-94 |url=https://www.sciencedirect.com/sciencesdfe/pdf/articledownload/piieid/1-s2.0-S1538544201000487/first-page-pdf |archived= |quote= |pubmedID=11436003 |pubmedCID= |DOI=10.1067/mps.2001.116127 |accessdate=2020-07-10}}</ref>

10 May 2004 Doctors "should stand in shame" at the lack of follow-up studies on the cosmetic genital surgeries on intersex children they have been performing for decades, proclaimed Dr. Ian Aaronson of the [https://medicine.musc.edu/ Medical University of South Carolina]. These strong words came during a presentation titled "Gender Reassignment: Yea or Nay?" at the [https://www.auanet.org American Urological Association] conference in San Francisco.<ref>{{REFweb |url=http://www.intersexinitiative.org/news/000114.html |archived= |title=Ian Aaronson at Urology Conference: "Doctors Should Stand In Shame" |trans-title= |language=English |last= |first= |author-link= |publisher=Intersex Initiative |website=Ian Aaronson at Urology Conference: "Doctors Should Stand In Shame" |date=2004-05-10 |accessdate=2020-07-10 |format= |quote=}}</ref>

In fact, in 2004 the subject of the most famous case of sexual reassignment during infancy, [[David Reimer]], committed suicide at the age of 39 on 5 May 2004, a fact that should not have escaped Aaronson. It had been known for several years that the famous "John/Joan" experiment performed at Johns Hopkins University by psychologist John Money, had failed, with "Brenda" resuming a male identity and taking the name of David Reimer.<ref>{{REFweb |url=http://academicdepartments.musc.edu/facultydirectory/FacultyDetails.aspx?facultyId=2201 |title=Ian Aaronson M.D |last= |first= |accessdate=2020-07-10}}</ref>