Christiane Völling
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Christiane Völling (born 17 April 1959) is the first
intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bina ...
person known to have successfully sued for damages in a case brought for non-consensual surgical intervention described as a non-consensual sex reassignment. She was awarded €100,000 by the Regional Court of Cologne.


History

Völling was born in 1959 with XX sex chromosomes, typically associated with being female, and likely also with
congenital adrenal hyperplasia Congenital adrenal hyperplasia (CAH) is a group of autosomal recessive disorders characterized by impaired cortisol synthesis. It results from the deficiency of one of the five enzymes required for the synthesis of cortisol in the adrenal cortex. ...
. She had ambiguous genitalia and was assigned and raised male. She had an early puberty with what was considered to be striking physical growth, including beard growth. During an appendectomy, at age 14, the teenager was found to have a full set of female reproductive organs, including ovaries and fallopian tubes. While no testicular tissue was detected, Völling was diagnosed as having a mix of both male and female organs. She was informed of the presence of female organs and told she was 60% female. Völling suffered mental health issues as a consequence. Her female-typical chromosomal pattern was detected in 1977, but the results were not shared with her. Her awareness of her sexuality and her sexual orientation were analysed, followed by surgery at age 18 on 12 August 1977 that removed her female sexual organs, including her reproductive organs. Medical papers showed purpose of the surgery as a "testovarectomy", the removal of both testicular and ovarian tissue, however, no testicular tissue was present. The senior physician’s entry stated “a normal female anatomy with pre-pubertal uterus, normal sized ovaries, blindly ending vagina...” were found. Völling continued to live as a man for a time, but later transitioned to live as a woman. In 2006, Völling obtained her medical records and discovered the concealment of her chromosomal diagnosis, and the nature of the surgery in 1977.


The case of Re: Völling

In a case decided on 6 February 2008, in the Regional Court of Cologne, Völling stated that she had been unable to consent to, or fully understand, the nature of the surgery that took place in 1977. She argued that, with appropriate medical treatment, she could have lived the life of a woman, including full female sexuality and the ability to procreate. In addition to life in an inappropriate gender, she suffered the consequences of castration, and of a urethra reconstruction, including persistent urinary tract infections and urinary dysfunction. The surgeon argued that he relied on the diagnostic support of medical specialists. He further argued that Völling did not possess a "naturally female body", but one subjected to
virilization Virilization or masculinization is the biological development of adult male characteristics in young males or females. Most of the changes of virilization are produced by androgens. Virilization is most commonly used in three medical and biology ...
, and "profoundly atrophied" sex organs." In the surgeon's view, the surgery fulfilled the urgent and thoroughly reviewed wishes of the patient. Key diagnostic information was withheld for therapeutic reasons, primarily due to concern about her mental health. The court determined that the surgery took place in the absence of any grave or acute health risks. The doctor had no good reason for failing to provide full diagnostic information, in particular as the diagnostic data showed that Völling did not possess mixed sex characteristics, with the potential to maintain one present sex, but actually involved the complete removal of her only present sex organs. Völling was both genetically and physically female. An obligation to inform the patient about her diagnoses could not be disregarded for therapeutic reasons as the "surgery's point of origin considerably changed during the surgery". The court ruled that "the Defendant illegally, in a deliberate and culpable manner, injured the Plaintiff’s health by removing his female sex organs" without full consent about the nature, content and extent of the surgery. Völling was awarded damages of €100,000. The
International Commission of Jurists The International Commission of Jurists (ICJ) is an international human rights non-governmental organization. It is a standing group of 60 eminent jurists—including senior judges, attorneys and academics—who work to develop national and inte ...
describe the case as "an example of an individual who was subjected to sex reassignment surgery without full knowledge or consent". The case fell just within limits afforded by the
statute of limitations A statute of limitations, known in civil law systems as a prescriptive period, is a law passed by a legislative body to set the maximum time after an event within which legal proceedings may be initiated. ("Time for commencing proceedings") In m ...
. In addition to the case, Völling petitioned a court for her official change of name and change of legal status from male to female.


Publications


See also

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Intersex rights in Germany Intersex people in Germany have legal recognition of their rights to physical integrity and bodily autonomy, with exceptions, but no specific protections from discrimination on the basis of sex characteristics. In response to an inquiry by the Ge ...
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Intersex human rights Intersex people are born with sex characteristics, such as chromosomes, gonads, or genitals, that, according to the UN Office of the High Commissioner for Human Rights, "do not fit typical binary notions of male or female bodies." Intersex peop ...
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Intersex surgery Intersex medical interventions, also known as intersex genital mutilations (IGM), are surgical, hormonal and other medical interventions performed to modify atypical or ambiguous genitalia and other sex characteristics, primarily for the purposes ...


References

{{DEFAULTSORT:Volling, Christiane 1959 births Living people Intersex women Intersex rights activists Medical controversies in Germany Intersex in history Intersex rights in Germany German activists Transgender writers Intersex writers 21st-century LGBT people