The Supreme Court has issued notice to the Union of India
and various state ministries in a petition that seeks distinct constitutional
recognition and targeted safeguards for intersex persons, who are born with
congenital variations in sex characteristics, known medically as Differences of
Sex Development (DSD). Filed by petitioner-in-person Shamshravish Rein, the
plea argues that intersex persons constitute a distinct biological class
separate from transgender individuals, whose rights have been recognized under
the Transgender Persons (Protection of Rights) Act, 2019. The petition contends
that the existing legal framework fails to differentiate between gender
identity variance, which develops over time, and congenital biological
variations present at birth, leading to administrative confusion and rendering
intersex infants constitutionally invisible.
The plea highlights that this lack of distinction has
resulted in serious violations of fundamental rights under Articles 14, 15, and
21 of the Constitution. Intersex persons continue to face non-consensual
“normalization” surgeries in infancy, absence of clear birth documentation,
social stigma, abandonment, exclusion from inheritance, lack of structured
reservations, and linguistic invisibility in official systems. The petitioner
emphasizes the grave and ongoing infringement of bodily integrity and autonomy
through irreversible, medically unnecessary surgeries performed on infants for
social conformity rather than medical necessity. Although the Madras High Court
in Arunkumar & Anr. v. The Inspector General of Registration (2019) and
subsequent state initiatives in Tamil Nadu and advisory directions from the
Delhi Commission for Protection of Child Rights have addressed such practices,
the Union Government has not framed comprehensive national legislation, uniform
medical protocols, or standardized healthcare guidelines.
The petition invokes the doctrine of parens patriae, under
which the State and the Supreme Court act as guardians of infants incapable of
giving informed consent. It argues that Article 21, read with Article 39(f),
mandates that children be provided conditions of freedom, dignity, and healthy
development, and be protected from physical, moral, and psychological harm. Any
practice subjecting a child to irreversible bodily alteration without consent,
particularly when not medically necessary, violates this guarantee. The
petitioner submits that infants with variations in sex characteristics deserve
protection from premature medical decisions that could permanently affect their
identity, bodily integrity, and developmental trajectory. The State is
obligated to ensure that all actions concerning such children prioritize their long-term
welfare and best interests.
The plea notes that while the Supreme Court’s judgment in
National Legal Services Authority v. Union of India (2014) recognized rights of
transgender persons, it primarily addressed gender identity and did not
specifically deal with the biological realities of intersex persons
identifiable at birth. Subsequent rulings on reproductive autonomy, privacy,
and individual autonomy have left a constitutional gap regarding congenital sex
variations. The petitioner relies on medical science to explain that biological
sex is not strictly binary and lists recognized conditions such as Androgen
Insensitivity Syndrome, Congenital Adrenal Hyperplasia, Klinefelter Syndrome,
Turner Mosaicism, Gonadal Dysgenesis, and Ovotesticular DSD. These involve
atypical genital formation, chromosomal variations, or mixed gonadal
structures, which differ fundamentally from later-stage gender identity issues.
The petition further points out historical marginalization,
including the impact of colonial laws like the Criminal Tribes Act, 1871. It
argues that the continuing performance of non-consensual surgeries on intersex
infants across India, in the absence of national guidelines, constitutes a
continuing wrong, renewing the cause of action under Article 32. The petitioner
has sought a declaration that intersex persons form a distinct class entitled
to targeted protection, directions for framing separate statutory guidelines
and a National Medical Protocol Committee, an immediate nationwide ban on
non-essential surgeries on infants, expert committees for reservations,
amendments to documentation rules for neutral options, neutral honorific
titles, and clarificatory measures for equal inheritance rights.