This chapter focuses on Malta’s rights-based approach to intersex, which specifically prohibits unnecessary sex-assignment treatment and surgery on intersex minors. This approach has placed the framing of intersex outside simplistic medical and LGBT accounts. As a result, it offers the potential for significant new framings of what intersex is and what intersex can be. Unfortunately, the reality of the intersex experience in Malta has not lived up to the promise of the 2015 legislation. This is predominantly due to an implementation gap where law is yet to affect clinical practice and disrupt the disordered narrative. This serves as an important reminder of how resistant to change the medical framework is. We also note, however, the dynamism of social change and highlight its ongoing and continuous nature rather than being a shift between two static points. State buy-in after law reform takes place is as important as that needed to introduce new legislation to disrupt medical embodiment.
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