Money-influenced practioners would raise genetic males as females cloacal exstrophy rare birth defect where organs are exposed before 1959, no survivors author's study of 29 genetic males, 24 were raised female 20 of 24 had a sister 13 have declared themselves male (6 spontaneously, 7 after being informed) 7 still ID as female "two others have refused persistently to declare gender identity (although both, at age 15 years, recently agreed to estrogen administration)" > Parents of subjects who live as female noted that their children are happy. These subjects were not as socially active as their male counterparts, especially into mid-adolescence. Generally, they reported having difficulty fitting in with girls as they grew older.