New State Department regulations took effect yesterday that no longer require gender reassignment surgery as a prerequisite to have accurate gender markers on your United States passport.
The new policy was implemented because Trans Americans face extreme danger when traveling abroad in the many countries that are hostile to them. Many also experience harassment when entering and leaving the United States and several other countries.
So without further ado, here are two examples of the letter you'll need to submit for your corrected passport gender marker.
Attending Physician’s Letterhead
(Physician’s Address and Telephone Number)
I, (physician’s full name), (physician’s medical license or certificate number), (issuing State of medical license/certificate), (DEA Registration number), am the attending physician of (name of patient), with whom I have a doctor/patient relationship. (The letter must indicate that the physician is either an internist, endocrinologist, gynecologist, urologist or psychiatrist.)
(Name of patient) has had appropriate clinical treatment for gender transition to the new gender (specify new gender male or female).
Or you can use this format:
(Name of patient) is in the process of gender transition to the new gender (specify new gender male or female).
I declare under penalty of perjury under the laws of the United States that the forgoing is true and correct.
Signature of Physician
Typed Name of Physician