You obviously care about your daughter very much to research and explore all options for her.  I don not know what is right for you but I am going to tell you of our decision and why we made it.  We ,too, were very concerned about function for our daughter.  I was heart broken at the thought that because of ;a decision I made might take away her ability to orgasm.  We researched many abstracts and articles on this and made the decision to not have any surgery until it is needed.  She will need surgery prepuberty for menstral flow.  The clitoral recession will be her decision when she is old enough to understand the full consequences.  My daughter is almost 6 and is aware that she is different having a  large clitoris, but is in no way ashamed or embarressed about this fact.  She is modest in changing clothes situations.  We found many medical articles that state that stenosis can be a problem and require further surgery.  (Stenosis is when the tissue becomes rigid and will not expand.  Scar tissue will not grow with the child either so this second surgery is often needed.)  Also, I guess the main reason came down to the fact that this body is not mine.  It is my daughter’s and she should have the say in whether or not to have clitoral recession.  If it were me I’d rather have a functioning, large clitoris than one that is "appropriate" size but feels very little.  Other tidbits:  my sister works at an OB/GYN and has seen many women all who are shaped in different sizes, shapes and colors.  There is no one correct size for a clitoris.  Also, a close friend, who does not have any endocrine issues, revealed to me that her clitoris is large and visible and she is quite happy with her anatomy. Also, one poll indicated that most adults would have the clitoral surgery for their daughter but would not choose it for themselves.   I feel for you as I know first hand how excruciatingly difficult this decision is.  Once we made the decision to wait on surgery I felt peace and stopped crying daily.  I hope you ,too, can make a decision that will give you peace.  Take care and know that she will be all right.  Children are strong and resilient.  Oh, and don’t forget to enjoy your beautiful girl through all the worry!!  Julia