In this case, the Kansas Appellate Court concluded that "[A] trial court must consider and decide whether an individual was male or female at the time the individual's marriage license was issued and the individual was married, not simply what the individual's chromosomes were or were not at the moment of birth. The remaining two residents were born in Michigan, and would be required to undergo surgery to change their birth certificates. In some cases, a parent's transgender status is not weighed in a court decision; in others, rulings are made on the basis of a transgender person being presumed to be an inherently unfit parent. She took the case to court, but the court ruled that the New York City Health Code didn't permit the request, which only permitted a change of sex on the birth certificate if an error was made recording it at birth.
For example, the state of Massachusetts requires SRS for a birth certificate change,  but only a form including a sworn statement from a physician that the applicant is in fact the new gender to correct the sex designation on a driver's license. Furthermore, having documents which do not match a person's gender presentation has been reported to lead to harassment and discrimination. Many states require sex reassignment surgery to change their name and gender marker.
On June 10, , the policy on gender changes was amended to allow permanent gender marker changes to be made with the statement of a physician that "the applicant has had appropriate clinical treatment for gender transition to the new gender. The court subsequently invalidated her revision to her birth certificate, as well as her Kentucky marriage license, ruling "We hold, as a matter of law, that Christie Littleton is a male.
Laws regarding name changes vary state-by-state. Furthermore, having documents which do not match a person's gender presentation has been reported to lead to harassment and discrimination. The Transgender Law Center believes this to be "the first ruling of its kind in the U. Lloyd ,  where the court found that substantial state interest must be demonstrated to justify refusing to grant a change in sex recorded on a birth certificate.
On remand, the trial court is directed to consider factors in addition to chromosome makeup, including: Also, documents which do not match each other can present difficulties in conducting personal affairs - particularly those which require multiple, matching forms of identification. In these cases, the sexual reassignment surgery is considered medically unnecessary.
She did not mention her birth gender, however, or the fact she was still legally a male. Furthermore, having documents which do not match a person's gender presentation has been reported to lead to harassment and discrimination.
Posted by: Kigarr | on October 2, 2012
Other states — such as Kansas , Ohio , and Tennessee as of April  — will not change the sex on a birth certificate at all. Others do not require hysterectomy , phalloplasty , metoidioplasty , penectomy , orchiectomy , or vaginoplasty to treat their gender dysphoria. Though he won that case in , it was reversed on appeal in by the Florida Second District Court of Appeal ,  upholding Forsythe's claim that the marriage was null and void because her ex-husband was still a woman and same-sex marriages were illegal in Florida.
In these cases, the sexual reassignment surgery is considered medically unnecessary. Furthermore, sexual reassignment surgery is generally the final medical procedure in a complete sex change , and is a procedure which many trans people find financially prohibitive.
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