by Danielle M. Rosenberg 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.
A recent controversy over birth certificates in Arkansas demonstrates that these slips of paper are imbued with political and social meaning. In 2015, a married couple, Marisa and Terrah Pavan, had their first child, who was conceived through sperm donation. The Arkansas Department of Health, or ADH, listed only Terrah, who gave birth to their daughter, on the baby's birth certificate. This was contrary to state law, under which the spouse of the birth mother also is automatically listed.