See also US Driving Licences, US Birth Certificates, and US Name Changes.
As of 2021, you do not need to have had any medical intervention, nor do you need a doctor’s note, to change the sex designation on your US passport. See Selecting your Gender Marker on the US Department of State website.
See Know Your Rights: Passports from the National Center for Transgender Equality.
See the Passports section of the MA Trans Political Coalition’s Gender Marker Change guidelines for a step-by-step guide to changing your US passport.
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