Dunno Cassie. many states, like here in California do change the sex marker on the drivers licence for you if you have a form they give for that signed off by your Psychologist/psychiatrest. It does not actually change your legal sexual standing, but the licence is under your new name and gender. It doesn't legally change your sex, but the sex is changed for anyone looking at it, like when you use a credit card or have to identify yourself etc. Even a patrol officer who checks your licence isn't aware of the reality. The license is crossed referrenced with your old record and only DMV supervisors can access the original. Like I said though, It is not a legal standing in a court of law, but generally holds good anywhere you have to show identification.
The only identification I have at all that shows me as male is my birth certificate and the gender on that can't be changed without a court order after showing a letter from the surgeon confirming the surgical change The name change on SSA card does not show gender on the card, only name and number,, though here in California I could in effect get a court order for the change due to the other proceedures I've had It's been done before but when I get it done it will be for the full fact.
The only drawback for those thinking about it but not a medically supervised TS, is that they confiscate your old license and it is no good anyway because it is in the old name. So if you do it you are female to anyone/everyone looking at the licence.
I don't know the satus of all states, but Leigh could tell you about yours, this topic has come up enough over the years and a gender change on DL is no great or hard matter if you have the backup of a qualified therapyst. I know all I had to do was present the paper work, take a new picture and it was all done in 10min with no complications or fuss of any kind. the hardest part of the proceedure was that the Supervisor told the clerk not to charge me for the new licence and they had to look up the code for not accepting money. SSA was simular but again, no gender change is possible unless you have the documentory evidence of the change, but they change the name without question if you have id in your old name and in your new name. again, in my case, SSA was completed in a matter of minutes with no problems what so ever. It was all so easy that without my BC I couldn't prove I was born male other then to drop my drawers. I am classified as a professional Driver at work and even my work records record me as female, but they have full knowledge I am Transsexual in actual bearing, but then, aside from my employer they are also my insurance provider and have paid for virtually all of it other then electro etc....
Terri