This article considers the extent to which human rights mechanisms can ameliorate intersex rights at a sub-national, or medico-local, level. It engages with both intersex activism and the academy where the United Nations (UN) has become understood as a key mechanism through which to challenge day-to-day practices of healthcare practitioners and bring an end to nontherapeutic surgical and hormonal interventions on intersex infants and children. Using the UK as an example, this article examines how and why the UN’s engagement with intersex has had little effect on the medical regulation of intersex people. To do so, the article draws on legal geography to examine how scale prevents the UN from having a clear and lasting impact on domestic issues – particularly those in healthcare settings. The different ways in which intersex bodies are recognised and regulated at different scales, coupled with the UN’s inability to form dialogue with the institutions of the state, such as the healthcare profession, are problematic barriers to challenge practice at the medico-local scale.

中文翻译：

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双性人行动主义、医疗力量/知识和联合国的标量限制

本文考虑了人权机制在次国家或医疗地方层面改善双性人权利的程度。它与双性人激进主义和学术机构合作，联合国 (UN) 已被视为挑战医疗保健从业人员的日常实践并结束对双性人婴儿和孩子们。本文以英国为例，探讨联合国与双性人的接触如何以及为何对双性人的医疗监管影响甚微。为此，本文利用法律地理来研究规模如何阻止联合国对国内问题产生明确和持久的影响，尤其是在医疗保健环境中。