For those who are waiting for later vaginoplasty: I am a researcher who became interested in the field out of my own experience of clitoral reduction surgery when I was 7. I am now 31. I was fortunate enough not to require vaginoplasty as I was born with a condition that mimicked CAH but, unlike CAH, was not progressive. Anyway, though I deeply regret that my father consented to the clitoral amputation (any prettier terms for it are lies -- "reduction" sounds better but is truly inaccurate from my POV), the extensive research I have done indicates that waiting for the body to mature produces better long-term results for vaginoplasties. This is because the mature child will be more likely to follow the post-surgical protocols required to keep the vagina open. Furthermore, the construction of a neo-vagina from a piece of resected colon is a very serious surgery involving the removal of perfectly healthy tissue in the child's digestive tract. In my opinion, before such a risky procedure is carried out on *healthy* tissue, the child should be consulted and granted time to weigh the risks and benefits. Long-term follow up in medical journals that I have read indicate that many severe-CAH patients end up not being sexually active, or at least not interested in penetrative activity. The reasons why this is so have not been adequately explored. If you are interested in discussing this further, please feel free to contact me at my email address. Sincerely, Morgan Holmes PhD-C