Certain CAH cases may require surgical solutions. Typical examples include girls who suffer from urine flow problems due to genital abnormalities, or because they want to have a more feminine appearance. Currently, there is no consensus over the optimum time to perform surgery. Some experts recommend that "feminizing" surgery is best done while the child is an infant, but others believe this raises problems over consent. Both early surgery and delaying action carry risks, and there are no reliable research findings for risk assessments.

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