On August 8, 2016, the Pennsylvania Department of Health announced it has updated its policy on how an individual can change the sex marker on their birth certificate.
The new policy allows for a Pennsylvanian to amend their birth certificate’s sex marker through a note from a physician stating they have received gender transition care. This is a change from the prior requirement to demonstrate gender confirmation surgery as the threshold to update a birth certificate.
The National Center for Transgender Equality has posted a quick summary of the steps that need to be taken here.
Below is the updated policy from the Pennsylvania Department of Health.