Step 1 ---> confirm diagnois
Step 2 ---> various affidavits
Step 3 ---> court order for changing the gender marker / sex
Step 4 ---> change birth certificate
Step 5 ---> submit paperwork to social security
[[ both the court order and updated birth certificate, as well as some forms ]]
Step 6 ---> submit required paperwork to DMV in your jurisdiction
[[ this is relevant to US in all 50 states ]]
...
Guess what I just did in the past month...
(( still stuck at step 1 actually ))