Abstract
The development of Assisted Reproductive Technology may provide some beneficial effects. However, some ethical and legal issues have been associated with ART, particularly sex selection. Indonesia allows sex selection in ART for the second child without mentioning medical or non-medical reasons. Sex selection based on medical reason is ethically acceptable. However, sex selection for nonmedical reasons remains controversial. Sex selection in ART contradicts to the ethics that includes natural law, religion, human rights, eugenics, and designer babies. Sex selection may also generate gender discrimination. Some countries in the world have accepted sex selection for medical reasons which is not limited by the order of child. Indonesia needs to review the sex selection policy in ART through consideration of the medical or non-medical reasons either in sperm separation technique or PGD.