by Romana M. Brown on Jun 14, 2018 Birth Certificate
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.
Marriage _ In some states, the marriage license process may involve proving identity by providing a birth certificate. This only makes sense because the marriage license is a very important document that is used for legal purposes beyond just getting married.