性別適合手術
The Office of Vital Records will alter the gender marker on the birth certificate of a transgender person upon receipt of a court order and a completed "Birth Certificate Request Form". Sex reassignment surgery, sterilization and other medical interventions are not officially required, though the applicant may undergo such procedures if they wish. However, if wanting to change the gender marker on a driver's license, the applicant will have to submit to the Department of Public Safety a notarized statement from a physician confirming that they have undergone "permanent and irreversible" sex change surgery.