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Kaur 1 1 Brigham and Womens Hospital, Harvard Medical School, Boston, Massachusetts, USA, 2 Boston Childrens Hospital, Harvard Medical School, Boston, Massachusetts, USA, 3 Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA, 4 Weill Cornell Medicine, New York, New York, USA, 5 Harvard Medical School, Boston, USA Journal of Patient-Reported Outcomes 2026 , 10(Suppl 1) :1057 Aims Congenital differences of sex development (DSD) include a range of conditions characterized by atypical chromosomal, gonadal, or anatomic sex