Currently, the province offers gender-neutral options for drivers' licenses and health cards but not for birth certificates.
https://www.thestar.com/news/canada/2017/05/18/gender-neutral-birth-certificates-could-be-issued-in-ontario-by-2018.html (https://www.thestar.com/news/canada/2017/05/18/gender-neutral-birth-certificates-could-be-issued-in-ontario-by-2018.html)
The Canadian Press/By Jessica Smith Cross 05/18/2017