How to buy a daughter

The conventional wisdom has always been this: Given a choice, couples would prefer sons. That has certainly been the case in places like China and India, where couples have used pregnancy screening to abort female fetuses. But in the United States, a different kind of sex selection is taking place: Mothers like Simpson are using expensive reproductive procedures so they can select girls.

Just over a decade ago, some doctors saw the potential profits that could be made from women like Simpson—an untapped market of young, fertile mothers. These doctors trolled online forums, offering counseling and services. They coined the phrase “family balancing” to make sex selection more palatable. They marketed their clinics by giving away free promotional DVDs and setting up slick websites.

These fertility doctors have turned a procedure originally designed to prevent genetic diseases into a luxury purchase akin to plastic surgery. Gender selection now rakes in revenues of at least $100 million every year. The average cost of a gender selection procedure at high-profile clinics is about $18,000, and an estimated 4,000 to 6,000 procedures are performed every year. Fertility doctors foresee an explosion in sex-selection procedures on the horizon, as couples become accustomed to the idea that they can pay to beget children of the gender they prefer.

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