We're SLIM, a Strategy Lab for Intersex Movements.

Through cultural work—stories, art, and relationships—we make space for intersex people to process medical violence, build shared context, and demand healthcare that puts autonomy first.

Everyone has sex anatomy. The shapes of our bodies affect how we live, who we love, and our opportunities. No one knows this better than intersex people. We face shame for our looks and our hormones. We face genital surgery before we're old enough to speak.

While hospitals fold to attacks on care to help people shape their own bodies, they still deny us any chance to keep ours. SLIM exists to bring intersex people to the heart of this conversation.

SLIM offers research tools to grow intersex work:

Saifa, holding a megaphone, crouches over two intersex kids at a protest. All are wearing End Intersex Surgery t-shirts and smiling. The kids hold a sign saying 'Intersex Babies Have Rights' painted with hearts.

Intersex Groups Index

Who does intersex work? How has our field grown in its 30 years? We count 100+ active intersex organizations globally.

Collage image of two men's hands shaking in front of a pile of money and floating XX chromosomes.

Right Wing Funds Map

Who funds the medical domination over "sex" as a category? We pay attention to anti-autonomy relationships.

Collage image of a compass and an intersex protest outside a hospital.

Resistance Timeline

We're not reinventing the wheel. We document and learn from our own histories, starting within the United States. (coming soon)

Want to hear more? Meet us in your inbox!

Social media platforms seem to take more than they give these days. We like things slow.

If you want the latest on SLIM's work and upcoming events, email is the way.

A 4-circle Venn diagram with the SLIM logo in the bottom corner. The 4 circles are labeled: racism, eugenics, homophobia, and scientism. In the middle where all circles overlap is a big star labeled intersex issues. Descriptions of the terms labeling each of the 4 circles follow. Racism: polices Black and Indigenous expression, sexuality, and ways of life. Eugenics: hides or kills bodies that can't work or reproduce. Homophobia: restricts diversity of bodies and desires. Scientism: positions 'objective' measurement as the only path to knowledge, dismissing emotion and social context.

We think genitoplasty should only happen with consent.

Groups for and against trans healthcare access are both talking about intersex children–those born with medicalized innate variations in genitalia, hormones, and other physical traits. Anti-trans bills take care to exclude “verifiable disorders,” protecting surgeries that force intersex children to change their bodies. 

The way that states use medicine to control or eliminate unique sex anatomy represents so many problems. Panic about these traits connects every social issue. This is where SLIM lives.

Beyond chipping away at legal protections, the global authoritarian push for strict, body-based social roles via appeals to “biological sex” builds public tolerance for surveillance and eugenics.

Intersex organizers have deep wisdom to share here.

 

We move from intersex rights to intersex justice.

SLIM is the next chapter of the work of Intersex Justice Project. IJP's Intersex Justice Framework, created in 2021 by Sean Saifa Wall and Dr. Mel Michelle Lewis, envisions vibrant, multi-racial, and globally-oriented intersex change-making work.

Intersex justice is a radical, seven-piece vision of a world where intersex children are protected and survivors of genital cutting are cared for and respected.

1 Legal Protections

Create laws to protect intersex people and allow them full inclusion in society.

2 Informed Consent

Shape consent around survivor accounts and deeper explanations of the lifelong considerations of any medical actions.

3 Reparations

If medical harms caused a physical, mental, or emotional disability, give intersex people financial compensation.

4 Accountability

Create consequences for doctors who act without an individual's informed consent.

5 Language

Remove intersex from the DSM and replace "disorder" with terms such as “variations in sex characteristics.”

6 Children's Rights

Avoid genital and/or gonadal surgery at all costs until a child is old enough to decide.

7 Patient-Centered Healthcare

Offer reproductive and hormone care options that respect each person's wishes and self expression.

Intersex justice means we think about questions like:

Why do campaigns to criminalize transgender healthcare steal language from intersex organizers?
Who writes intersex infant surgery exemptions in anti-trans legislation?
How have Global South intersex groups reclaimed power from legal and medical systems, especially considering histories of colonization?
How can we build stronger alliances within movements for queer, trans, racial, and reproductive justice?
What are the resources of intersex groups, compared to parent-patient-research groups who prefer to view sex difference as a medical abnormality?
How can we honor and document our own histories?
Which strategies might move us closer to freedom from eugenics and medical domination?
Can this also be beautiful?

 

We are writers, researchers, and organizers.

SLIM is the co-creation of two U.S.-based activists. Together we've put 25 years into learning, healing, and loving our fellow intersex people.

Saifa's headshot. A Black trans intersex man in thick-rimmed glasses and a buttondown shirt. Saifa holds his chin in his hand.

Sean Saifa Wall, PhD (he/him) is a Black queer, trans, intersex activist and rising scholar. He received his PhD as a Marie Skłodowska-Curie fellow at the University of Huddersfield, examining the erasure of intersex people from social policy sectors in Ireland and England. As an activist, Saifa is committed to racial equity and a radical vision of bodily autonomy for people with intersex variations. He made history by confronting the surgeon on ABC News Nightline who performed his gonadectomy at the age of 13. He is co-founder of the Intersex Justice Project whose #EndIntersexSurgery campaign pressured Lurie Children’s Hospital of Chicago to become the first children’s hospital in the United States to denounce and further investigate genital surgeries on Intersex infants. Above all else, Saifa is determined to end harmful and invasive genital surgery on intersex children.

Hans's headshot. A white femme with long hair and thick-rimmed glasses resting a hand on a cat's head.

Hans Lindahl (hans) is a white, anti-Zionist, Jewish intersex femme interested in comics, design, and challenging medicine as the arbiter of social difference. As Communications Director for interACT: Advocates for Intersex Youth, Hans’s media and organizing work supported the passage of the first piece of U.S. state legislation to explicitly denounce genital surgeries on intersex infants. As a writer, Hans’s resources promoting community-led, trans-centered frameworks of reproductive anatomy have been translated into four languages, informing curricula at medical schools across North America and beyond. Hans co-organizes an intersex youth retreat series and consults on representations of sex in popular media, working with storytellers at Penguin, HarperCollins, and NPR. Hans’s graphic novel exploring intersex adolescence with illustrator Chan Chau releases in 2027 from Scholastic.

We're advised by care workers from our own communities.

Dr. Dalke's headshot: a white intersex woman with bobbed hair looking straight on in a white medical coat.

Katherine Dalke, MD (she/her) is a psychiatrist who specializes in the mental health of adolescents and adults who are LGBTQ or have intersex traits. She developed the LGBTQ Clinic at the Pennsylvania Psychiatric Institute and co-founded the integrated Gender Health Clinic at the Penn State Health Hershey Children’s Hospital. Dr. Dalke is an assistant professor in the departments of Psychiatry and Behavioral Health and Humanities at the Penn State College of Medicine, where she also directs the Office for Culturally Responsive Health Care Education. This office focuses on creating curriculum and learning environment that not only prepare learners to provide equitable, responsive care to all patients, and but are also responsive to and inclusive of the experiences of students.

Dr. Dalke has served on the Consensus Committee for the report Understanding the Well-being of LGBTQI+ Populations at the National Academies of Sciences, Engineering, and Medicine. Dr. Dalke is a current member of the Sexual and Gender Minority Research Office Working Group at the National Institutes of Health and serves on the Intersex Committee in the World Professional Association for Transgender Health’s standards of care revision process.

Casey's headshot: a Latine nonbinary person with short curly hair wearing a white medical coat embroidered with the words Harvard Medical School.

Casey Orozco-Poore, MD (they/them) is a queer, non-binary person raised in the Bay Area, California. They graduated from Brown University with a degree in Neurobiology, graduated magna cum laude from Harvard Medical School, and are now a UCLA Child Neurology resident physician.

Casey has been active in medical education, research and community advocacy within LGBTQIA+ health at an international level. They completed their medical school thesis on the neurobiological risks of “nerve sparing” clitoral reduction surgeries non-consensually performed on young intersex children diagnosed with CAH, and mobilize this research for shifts in hospital and public health policy. They firmly believe in bodily autonomy, gender affirming and consent-based care for intersex people of all ages. As a UCLA South American Program in HIV Research (SAPHIR) fellow, they have carried out research and material support projects with trans communities in Lima, Peru on the themes of resilience, resistance and solidarity within the arts, activism and mutual aid. They plan to become a child neurologist with a sub-specialty in pain medicine, with an emphasis on affirming neurodiversity and non-carceral models of brain and mind healthcare.

Ly's headshot: a white intersex person with curly hair smiling a big smile, reaching arms up toward the sun. Ly wears a fun fish-shaped fanny pack, a baseball hat, and pants with a bright sunflower pattern.

Ly Baumgardt (it/its, auxiliary he/him) is a white, antizionist Jewish intersex activist. It is a cofounder of TIGERRS, a trans, gender expansive and intersex nonprofit based in the Midwest, and is currently their intersex coordinator.

Ly is a teacher, artist, patient advocate, older brother and author of the booklet I think I may be intersex and many half-baked stories about Jewish vampire hunters. As an activist it is focused on Palestinian and disability liberation, resource creation and distribution, and community building.

Noi's headshot: an intersex woman with short straight hair wearing a dark blazer and collared shirt.

Noi Liang, MBA, BCPA (she/her) is an intersex woman, patient advocate and educator on intersex variations. She strives to connect intersex people and their families to support and education, help the public understand intersex and related concerns, and advocate with the medical community for improvements in patient care.

Since 2012, Noi has been a patient advocate at Children Hospital Colorado, and a member of the interdisciplinary care team known as the SOAR Clinic. Since 2019, she has served on an Intersex/DSD Task Force at the American Psychological Association (APA), charged with reviewing existing work and making formal recommendations around future psychosocial care and changes to the APA. Noi is also involved with several research projects related to improvements in healthcare.

We're made possible by:

Social Good FundAction for Transformation Fund


Emergent Fund   Trans Justice Funding Project