In summary, there are many reasons why orchiopexy should be done, and certainly, the cancer worry is a very distinct one. Yet, I think the psychological reason, the locker room appearance situation, is the most frequent, and therefore, an important factor. I do think that we should exercise our favored position of being able to offer hormone treatment first. If that does not work, then go on with surgery as required. The timing, in my opinion, should be to start at the fourth birthday and to have the program completed by the fifth birthday. Although physiological considerations do enter into our choice, the precise definition of this time interval is primarily decided on the psychological aspects of the matter. I urge you to consider these, and I think that you will find the fourth-to-fifth-year interval works out very satisfactorily
