News of the case of nine-year-old Ashley from Seattle, who is said to have the mental age of a three-month-old baby and can neither walk or talk, is difficult to take in.
Three years ago, her parents decided to take steps to minimise Ashley's adult height and weight through hormone treatment. They also convinced an ethics committee that an operation to remove their daughter's uterus and breast buds were in the child's best interests as they would minimise the risk of sexual abuse and reduce her future discomfort.
In some quarters, the pair have been utterly condemned for their actions. And it is certainly easy to question the right of any parent or professional to condone such drastic medical treatment and procedure on behalf of another person for non-medical reasons.
But, elsewhere, there have been outpourings of empathy and support. People understand that this couple - who care for their daughter day in, day out and who know she will always have the mind of a baby - wanted to ensure their daughter could never become pregnant and that they would be able to continue to lift her and care for her at home.