The Evolution of Man
You don’t need surgery to change the gender on your US passport

http://transequality.org/Resources/passports_2012.pdf

Under the new policy, you can obtain a full ten-year passport with an updated gender if you have had CLINICAL TREATMENT determined by your doctor to be appropriate in your case to facilitate gender transition.

This is especially awesome since, in most cases, you can use a passport as proof of identity in lieu of a birth certificate, which is more difficult to change.  

Anyone else have useful tips about document changing in the U.S. or in another country?

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