They change their name and sex on their driver's license, passport, birth certificate, social security, VA and anything else that identifies who they are.
Once a person has accomplished the change to their desired gender they are no longer trans-gendering, they are just living their life in their desired gender.
A person's relationship with God is not determined by a person's gender in the context of the NT.
We pass people in public places without ever knowing their birth sex and it's really immaterial apart from intimacy.
Not exactly. You might want to be sure you know what you think you know? I did not know anything about it and Goggled it and here is what I found out. Not all states will do this. Look here from a gay site.
http://www.lambdalegal.org/know-your-rights/transgender/changing-birth-certificate-sex-designations
Although Idaho generally permits amendment of birth records upon an appropriate evidentiary showing, the Idaho Office of Vital Statistics reports that Idaho does not currently amend birth records to reflect sex of individuals who have changed their sex by surgical procedure.
In re Estate of Gardiner, 29 Kan. App. 2dn 92 (2001). (interpreting K.S.A. § 65-2422c as only permitting “minor changes” to birth certificates and stating that this does not encompass correction of sex on birth certificates of individuals who have changed their sex by surgical procedure thus invalidating K.A.R. § 28-17-20 (b)(1)(A)(i)).
Controlling case law: In re Ladrach, 32 Ohio Misc. 2d 6, 513 N.E.2d 828 (Ohio Prob. Ct. 1987) (interpreting Ohio's birth certificate statute to be only a correction statute that does not encompass correction of sex on birth certificates of individuals who have changed their sex by surgical procedure).
Tenn. Code Ann. § 68-3-203(d) (2006).
Text: The sex of an individual will not be changed on the original certificate of birth as a result of "sex change" surgery.
Although not explicitly addressed by statute or administrative code, South Carolina will issue an amendment as an attachment to the original birth certificate.
Other may as well not have changed it, as the certificate still reflect the actual biological sex/ as with the sex change, so they are tranny birth certificates.
Those doing this are an easy mark for therapists who need business; it is about making money off people who are not legally insane, yet are crazy nonetheless.
Notes: Amended birth certificates will be marked "Amended."
The order must contain sufficient information for the department to locate the record. If the registrant's name is also to be changed, the court order must indicate the full name of the registrant as it appears on the birth certificate and the full name to which it is to be altered. Any certified copy issued after the amendment must indicate it was altered.
The evidence from which the new certificate is prepared and the original certificate of birth shall be available for inspection
The court order must specify those facts to be changed on the new certificate.
the amended certificate will specify what changes have been made.
The State registrar shall issue an amended certificate of birth to a person born in this State who undergoes sex reassignment surgery and requests an amended certificate of birth which shows the sex and name of the person as it has been changed.
The amendment shall be registered with and become a part of the original certificate and a certified copy shall be issued to the applicant without additional cost.
Notes: Amended certificates will state that an amendment has been made. Older certificates may simply be amended directly on the face of the document, with all changes visible.
the amended certificate will show all changes that have been made.
Amended birth certificates will note that the sex designation has been changed.
So in other words, the certificate often states a sex change operation was done; what good does that do?