by Danny S. Yoder on Jun 14, 2018 Birth Certificate
If your parents failed to register your birth with the U.S. Embassy, it may be more difficult to obtain an official birth record. However, if you contact the hospital or someone in the public affairs office (for military births), you may be able to talk with an expert who can help you work through the process.
But these examples are outliers. In some places, gender markers on birth certificates can only be changed following gender_reassignment surgery. In many others, even that option is disallowed. This creates a situation where an adult whose gender identity isn't reflected on their birth certificate might also be stuck with their birth_certificate gender on all the other official identity markers that are derived from it, such as ID cards and passports.