Gender X

"Jurisdictions across the United States and Canada have a range of policies and procedures for serving customers who seek to change the gender designation on a driver’s license or identification card (DL/ID). The policies vary in the language used, the documentation required, and the procedure for requesting a change."

"You can select the gender marker you would like printed on your U.S. passport. The gender you select does not need to match the gender on your supporting documentation such as a birth certificate, previous passport, or state ID. We no longer require medical documentation to change the gender marker on your U.S. passport. At this time, you can select male (M), female (F), or unspecified or another gender identity (X) as your gender marker if you are applying for a U.S. passport book and selecting routine service. You can apply in-person at a passport acceptance facility or renew by mail."