This book introduces cutting-edge studies on the spectrum of sex. The sex spectrum can be understood as an interwoven mechanism sustaining graded phenotypes between the two sexes. The book overviews three elements that develop the sex spectrum: genetics, the endocrine system, and the environment. Part I discusses the genetic regulation during sex determination, which often results in a mixture of two sexes or sex reversal. The evolutionary aspects of the genetic determinants are also discussed. Part II presents the involvement of endocrine regulation in the sex spectrum, which covers a broad range of phenotypic events, including sexual behavior and metabolism. Interestingly, sex hormones can also act as sex determinants. Finally, Part III shows that intrinsic factors, such as sex-determining genes and sex hormones, are not the only factors in sex development.