I was born and currently live in Texas. I don't currently feel like I need surgery, cannot imagine being able to afford it, and would only want to have any kind of medical procedure if it was medical necessary. Texas requires surgery for a birth certificate change. Is there any way out of this, such as getting an out of state court order? Or am I screwed until Texas changes this barbaric rule, or it's determined that I actually need surgery, and that i acquire the means to undergo it? If I can't get my birth certificate changed, am I therefore unable to change my DL? The info on this site says that Texas requries a BC or court order for the DL change. Do I need surgery for that court order, too? You'd think that as as culture that prides small government and wants the government out of peoples lives, they'd be all for removing unnecessary burdensome restrictions on stuff like that.