“…Indeed, such norms, beliefs, or values are often controversial in the wider society and hence prone to reevaluation upon later reflection or exposure to other points of view (e.g., the belief that a child's body must conform to a strict gender binary; that surgery is an appropriate means of pursuing hygiene; that one's genitals must be symbolically purified before one can be fully accepted; and so on). In this, they constitute painful intrusions into the "private parts" of the most vulnerable members of society, despite being of highly contested value overall (Chambers 2018;Sarajlic 2014). This is in contrast to medically necessary interventions (Box 1), which are almost universally valued-that is, valued irrespective of local epistemologies, individual bodily preferences, religious commitments, or cultural background-which explains why such interventions are usually permissible even in temporarily nonautonomous persons (Earp 2019).…”