The Promotion of Equality and Prevention of Unfair Discrimination Act (sometimes known as the Equality Act) was passed by the South African government in 2000 to prevent discrimination, hate speech, and harassment. Following the work of activists, in 2005 PEPUDA was amended and became the first legislation in the world to include “intersex” within the legal definition of “sex” as “a congenital sexual differentiation which is atypical, to whatever degree.” This definition of intersex reflects activist work as it is almost identical to the recommendation submitted to the court by Intersex South Africa. Sally Gross, advocated and worked passionately towards this inclusion. One of the major activist accomplishments of this legislation was to insist that intersex be self-defined, removing it from medical oversight or forced surgery that often accompanies legal definitions of “sex.”