They've been giving me the runaround. On the phone the other day they said get an appointment to go downtown to the passport office. I went today, spent $12 on parking, and stayed in there for 2 hours--all for nothing. I could not get an answer to why my doctor's letter was not complied with. They said only the issuing office (in Philadelphia) knows that. No, you can't contact them yourself.
I was told to call on the phone again. First, they kept trying to pretend they didn't know about the 1-year preop passport. I kept reminding them and finally someone on the phone read me the rule about the doctor letter.
I said my doctor needs to talk with you directly to find out exactly what to write. No, your doctor can't talk to us. No, we can't tell you what went wrong or how to correct it. You're technically a man, so just board the plane using a male passport.
I seem to have run into a series of transphobes and I can go to hell for all they care.

Our tax dollars at work.
After that, I stopped at Social Security. A nice lady not only changed my name, she changed my gender in their records without even any documentation, just my say so. So I had a happy conclusion to a very frustrating day.