Gender identity disorder

[Butterfly]

Gender identity disorder
By Rebecca Taylor
Updated: Thursday, 13 May 2010, 11:14 AM EDT
Published : Thursday, 13 May 2010, 11:14 AM EDT


http://www.wwlp.com/dpp/health/pediatrics/gender-identity-disorder


Arizona (NBC) - From the moment we're born, our gender is no secret.  Pink for girls, blue for boys, but for some children, what's biologically on the outside, doesn't match what's on the inside. Doctors call them transgender children.

More and more parents are allowing their kids to live as the opposite sex. The family of a 9 year-old Arizona girl agreed to share their story.

By the time she could talk, Josie Romero insisted she was a girl. Her parents say with the help of doctors, they realized, it wasn't just a phase. Between her passion for the color pink, laughter shared with her adopted sister and long sun-kissed hair, you'd never know Josie was born with male anatomy.

[Blanche]

I read about Josie's story a few months ago, but I'm not clear about something.  How did she (or her parents) manage to change her birth certificate, passport & social security records if she (Josie) hasn't undergone GRS yet?  Strange.