Foreign Affairs Manual Requirements For Passport Change Of Gender
Pam's House Blend
by: Autumn Sandeen
Mon Jun 14, 2010 at 00:00:00 AM EDT
http://www.pamshouseblend.com/diary/16387/foreign-affairs-manual-requirements-for-passport-change-of-gender (http://www.pamshouseblend.com/diary/16387/foreign-affairs-manual-requirements-for-passport-change-of-gender)
From my reading of the document, the most significant hurdle is going to be getting a properly formatted physician letter. Here is the physician letter requirements (with basic formatting requirements):
b. Medical Certification.
1. A full validity U.S. passport will be issued reflecting a new gender upon presentation of the following: A signed original statement, on office letterhead, from the attending medical physician (internist, endocrinologist, gynecologist, urologist or psychiatrist). The statement must include the following information See 7 FAM 1320 Appendix M Exhibit B: