Right now, you’re able to select the appropriate gender marker on your passport without a note from a medical professional (and a passport can be used in the vast majority of situations you’d use a birth certificate) but because the self select gender marker was done by executive action, it’s extremely likely to be reversed when Trump takes office.

Also, having one might be a good idea in general.

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    4 days ago

    Let them reverse it then. That is no reason to not get one now.