11 years old and has known since he was four?
This is insanity and child abuse.
This kid will be a mental vegetable for life.
Worse: it’s a girl who believes she is a boy...even rarer...meaning it is highly unlikely this child is even a hermaphrodite, which is at least a biological condition. This is truly tragic.

Who in their right mind would mutilate this beautiful little girl?
“This kid will be a mental vegetable for life.”
i predict serious polydrug addiction followed by suicide before 25 years old.
They programmed the caesarean so the child could have Nambian nationality according to the article. Greater love...
this is Munchausen by proxy....I have a transgendered sibling and decisions like this should not be made till the person is an adult and in most cases the transgendered person is suffering a form of body dysphoria witch is a form of mantel illness. there are so many issues with a person being transgendered and all that people like Angela Jolee and Brad Pitt are doing is setting up there kid to be a very troubled child if it turns out to be a misdiagnosis or if the child is transgendered we don’t know if hormone treatment is necessary the right thing to do.
You fell into the "he" trap that so-called journalists foist on us these days. She's a girl.