Transgender Birth Certificate Amendment by State

Federal & State Law Editorial TeamLast reviewed: April 2026

Whether the state allows gender-marker amendment on a birth certificate, whether a court order is required, and whether surgery or medical proof is mandated.

50 States2 data columnsLast updated: May 2026

Click any column header to sort ascending or descending. Click again to reverse, and a third time to reset.

Allowed	Court Order Required	Surgery Required
Yes	Yes	Yes
Yes	Yes	Court discretion
Yes	Yes	Yes
Yes	Yes	Yes
Yes	No	No
Yes	No	No
Yes	No	No
Yes	No	No
No (2024)	N/A	N/A
Yes	Yes	Court discretion
Yes	No	No
No (court order)	Yes	Yes
Yes	No	No
Yes	Yes (court)	Court discretion
Yes	No	No
Limited	Yes	Yes
Yes	Yes	Yes
Yes	Yes	Yes
Yes	No	No
Yes	No	No
Yes	No	No
Yes	No	No
Yes	No	No
Yes	Yes	Yes
Yes	Yes	Yes
Limited	Yes	Yes
Yes	Yes	Yes
Yes	No	No
Yes	No	No
Yes	No	No
Yes	No	No
Yes	No	No
Yes	Yes	Yes
Yes	Yes	Yes
Yes	Yes	Court discretion
No (2023 EO)	N/A	N/A
Yes	No	No
Yes	No	No
Yes	No	No
Yes	Yes	Yes
Yes	Yes	Yes
No (struck)	N/A	N/A
Limited	Yes (court)	Court discretion
Yes	Yes	Yes
Yes	No	No
Yes	No	No
Yes	No	No
Yes	Yes (court)	Court discretion
Yes	Yes (court)	Court discretion
Yes	Yes	Yes
Yes	No	No

Tennessee's birth certificate amendment ban was struck down by the 6th Circuit in 2024. Federal courts have generally found policies categorically barring amendment violate equal protection. State Department of Vital Records procedures continue to evolve in response to litigation and legislative action.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.