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Typical examples would be an unusually prominent clitoris in an otherwise apparently typical girl, or complete cryptorchidism in an otherwise apparently typical boy.In most of these cases, a sex is tentatively assigned and the parents told that tests will be performed to confirm the apparent sex.Assigned male at birth (AMAB): a person of any age and irrespective of current gender whose sex assignment at birth resulted in a declaration of "male".

The rationales for sex assignment and consequential registration appear to have been little questioned.

A Dutch report on gender registration states that sex registration was introduced in 1811 as an intrinsic component in population registration, due to gender-specific rights and responsibilities, such as military conscription.

Observation or recognition of an infant's sex may be complicated in the case of intersex infants and children, and in cases of early trauma.

In such cases, sex assignment is generally taken to require medical treatment to confirm that assignment, but this is disputed in part due to the human rights implications of such treatment.

Even though the term assignment suggests a decision on the part of the parents or medical professionals, the act almost universally constitutes an observation or recognition of inherent primary sexual characteristics of a baby.

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