In June 2018, the Control Yuan, which functions partly as a national ombudsman, published a report on the government's inadequate protections of the rights of intersex people, in which the term shuāngxìnrĕn was adopted.

The report demanded government agencies to address such issues pertaining to intersex rights as premature sex assignment surgery, binary gender options at birth registration and on identification documents, the lack of statistical data on intersex people and the absence of intersex-friendly policies for sports athletes.

For adolescents aged between 12 and 18, "sex assignment surgery" is permitted for those "suffering difficulty in adapting to their condition",[3] requiring approval by a medical team consisting of psychiatrist, pediatrician, pediatric surgeon and child psychologist.

[5] The government announced, in 2018, that “gender-friendly” measures would be incorporated in the new chip-embedded citizen identity card, scheduled to be released in late 2020.

[6] The Ministry of Foreign Affairs pledged that the sex info on passport would be in line with gender registration as reflected on the identity card.