I'm sorry to have to put it this way but let this be a learning lesson not to wait until the last minute for these things. I have already submitted the paperwork to get my name legally changed. As soon as the court approves it, I plan on getting the documents changed and in my possession including the Arizona driver license, Arizona concealed weapons permit, U.S. Passport, Social Security Administraton card, and Arizona Birth Certificate. For some of these it is a law that I have to update these within a certain time frame. There are so many legal reasons to do this. It is not wise to have assets, titles, copyrights, bank accounts, government documents, insurance, taxes, employer records, school records, wills, trusts, and other documents in an old name. I'm surprised that the surgeon would not require updated documents prior to performing the surgery. Don't feel bad though because you are not the only one. All of this legal stuff is extremely expensive and a ton of trans people I know do not have their legal documents in order. More annoying is that after all of this is done, I will have to do it all over again to get the "M" changed to an "F" post SRS. I stand very firmly however in my belief that it is extremely important to have updated legal documents and in some cases it is the law.