Surgery to remove her uterus (a procedure called a hysterectomy) and breast buds were performed, so Ashley does not menstruate and will not develop breasts, both of which parents think only would cause her discomfort.
彼女の子宮（子宮摘出と呼ばれる手術）と胸芽を取り除く手術が実施されたので、アシュリーは生理が無く胸が大きくならず、両親はその両方が彼女を不快にするだけだと考えている。