File:Requirements for altering birth certificate sex in the US.svg

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English: Map detailing sex reassignment surgery (SRS) requirements each state has. Sources are Lambda Legal and Dr. Becky Allison's Instructions for Changing Name and Sex on Birth Certificate.
 
State does not require SRS to alter sex on birth certificate
 
Altering sex on birth certificate requires SRS1 3 4
 
State does not alter sex on birth certificates for transsexuals2

1Some Texas officials have refused to amend the sex on birth certificates to reflect a sex change after the ruling Littleton v. Prange; however, a judge can order an amendment.

2In American Samoa, "the Office of Vital Statistics . . . may change the gender marker on a birth certificate with medical documentation of the change in sex."

3Michigan requires a medical affidavit signed by a physician stating that the applicant has had "appropriate surgical procedures completed for gender transition to the new gender"

4From May 2013 to March 2017 Missouri allowed, through court order via CASE 13AR-CV00240, a quiet workaround of Mo. Ann. Stat. § 193.215(9). The workaround from the original petitioning case has been reversed by mandate of the several courts and Missouri now requires sexual reassignment surgery to change gender.
Source This file was derived from: Blank USA, w territories.svg
Author Theshibboleth
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Date/TimeThumbnailDimensionsUserComment
current03:38, 25 May 2023Thumbnail for version as of 03:38, 25 May 2023959 × 593 (63 KB)Dragon401kUpdated Texas per [https://lawlibrary.traviscountytx.gov/docs/GenderMarker_Kit_March_2017.pdf]. Fixed basemap to be text-editable. When uploading new versions, please edit using a text editor and not a vector graphics editor!
03:05, 7 January 2023Thumbnail for version as of 03:05, 7 January 2023959 × 593 (39 KB)KaleetanUpdates
14:38, 30 June 2022Thumbnail for version as of 14:38, 30 June 2022959 × 593 (39 KB)KaleetanNorth Carolina
00:31, 28 April 2022Thumbnail for version as of 00:31, 28 April 2022959 × 593 (39 KB)KaleetanMontana - court decision
15:58, 31 July 2021Thumbnail for version as of 15:58, 31 July 2021959 × 593 (39 KB)KaleetanOhio and Michigan
19:49, 8 May 2021Thumbnail for version as of 19:49, 8 May 2021959 × 593 (39 KB)KaleetanUpdate Montana
16:04, 6 March 2021Thumbnail for version as of 16:04, 6 March 2021959 × 593 (39 KB)KaleetanCorrections - FL, NH
15:46, 27 January 2021Thumbnail for version as of 15:46, 27 January 2021959 × 593 (39 KB)KaleetanMaine requires SRS, Delaware does not
17:33, 26 January 2021Thumbnail for version as of 17:33, 26 January 2021959 × 593 (39 KB)KaleetanFixed Alaska. Ohio hasn't made a new law yet so changed to unclear.
07:57, 9 January 2021Thumbnail for version as of 07:57, 9 January 2021959 × 593 (39 KB)AStupidZoomer,NowLeaveMeAlongStinkyBoomerBroOhio's ban on Transgender people changing the gender marker on their birth certificate was declared unconstitutional by a Federal Court ruling on December 16th, 2020.
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