Human sex plays a corner stone role in his or her development. The management of intersex conditions has been a subject of great debate. Early prompt management of persons with ambiguous genitalia and other intersex states theoretically will help the normal development of the person within the community. Patients and methods: Our study included 68 patients of different age groups with different intersex conditions who were fully managed and, and fulfilled a minimum of 6 months of follow up. All the patients were evaluated by a means of: cosmetic outcome, functional outcome, parental satisfaction, patient satisfaction, patient fitting in his final gender, and overall outcome; score. Results: only 85% of patients, required surgical reconstruction for the external genitalia, and 91% of them did one stage procedure. In 92% of patients, the degree of satisfaction was good. The cosmetic outcome was good or acceptable in 97% of the patients. Persistent complications developed 15% of the patients. Overall outcome was perfect, good, or acceptable in 95% of our patients, and poor in only 5%. Laparoscopy was needed in 23.5% of the patients, and it was rapid, safe and accurate procedure with minimal morbidity and postoperative hospital stay. Conclusions: Our current protocol of early prompt management for intersex patients proved to have high rate of success in the management of intersex patients from the cosmetic, functional and parental satisfaction point of view in the short term follow up period of 6 months to 3 years. And except for those with absent or high vagina who will be assigned to the female gender, there is no indication for delaying the surgical correction.