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CountryChanging Gender Marker Possible?Requires Surgery?RequirementsOther RequirementsCostNotesTransgender Groups in CountryX Marker?
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AmericaYesNoLaws differ according to State. Citizens can change their gender marker on passports without matching gender markers on supporting documents by submitting a new Passport Application.Some states require court appearances.Differs by state*some states offer X markerTrans EqualityYes*
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ArgentinaYesNoAmendments to Birth Certificate, National ID, and other documents are given upon request.La Asociación de Travestis, Transexuales y Transgéneros de ArgentinaYes
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AustraliaYesYes*Differs by State or Territory but in general, documents include a statement from a physican or psychologist, a statement from someone who has known you for 12 months, a personal statement, some states offer Gender Recognition Certificates that can be used to change your passport or travel documents or other federal documents.*in some states or territories you must have undergone gender-affirming surgeries but in some, this is not required

Must not have changed sex before within the past 12 months		 $110 AUD ($102 CAD) for legal name change procedures*in some states there are non-binary options, but not in othersThere are multiple groups in AustraliaYes*
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BelgiumYesNoBirth Certificate, a signed statement, if changing name you'll also need an extract of police recordMake an appointment490 Euros for name change process generally but FREE if also changing gender markerGenres PlurielsTBD
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ChinaYesYesMust be over 20.
Diagnosis of "transexualism".
Must have permission from family.
Must be unmarried.
Must have no criminal background.		If working in Hong Kong, must have permission from HR DepartmentAsia Pacific Transgender NetworkNo
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DenmarkYesNoYou must apply through your local parish. A personal statement.There is a 6 month "reflection" peroid. At the end of this period you will be asked to confirm your decision.513 DKK (102 CAD)Facebook: TransAktion??
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GermanyYesNoDoctor must 'confirm gender fluity'. Must prove 'transexual character' for more than 3 years and possibly permenantly.
Informal application submission. 		Personal Interview.
Two experts to 'examine' the claim (previously must be appointed by judge but recommendations are accepted from applicant/LGBT groups.		1868 Euros ($2762 CAD) [for the hiring of 'experts']In legal text, surgery is still required but was deemed unconstituional in 2011 and is no longer enforced.
*X marker available for intersex individuals/babies		Facebook: Transgender Germany - TGGNo*
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Hong KongYesYesForm ROP73, Hong Kong ID, Hong Kong Passport, Birth CertificateMust attend an In-Person InterviewNew ID Fee: 450 HKD ($70 CAD)QuarksNo
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IcelandYesNoOn Request for anyone over 18FreeTrans ÍslandYes
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IndiaYesNoAffidavit from notary.
Publish change in local newspaper.
Notify Government Gazette		600 - 900 rupees ($15 CAD)Transgender IndiaNo
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JapanYesYes20+. Diagnosis. Must write a statement. Must not be married or have minor children. Must be sterile.800 JPY ($9 CAD)http://trans-voice.net/No
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MalaysiaNoN/AThere are currently no legal proceedings for Legal Gender Recognition. Some have been successful in court processes but as precedence and laws currently tend toward chromosomal requirements, success is very unlikely Pertubuhan Pembangunan Kebajikan Dan Persekitaran Positif Malaysia (SEED)No
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NetherlandsYesNoLetter from physician or psychologistTransvisieYes
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New ZealandYesNo**To change the sex designation on birth certificates, you must apply to the Family Court where a judge will decide. You are asked to provide evidence like "medical evidence" that implies surgery is required but some have been successful without that evidenceTo change ID and/or Passport you need to write a statutory declaration$170 NZD to change name ($147 CAD)Gender Minorities AotearoaYes
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PakistanYesNoMust be over 18.
Must present yourself and request the change.
Affidavit. Biometric verification.		Facebook: Gender Interactive AllianceNo
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PhilippinesNo*N/AThe Clerical Error Law is the only way to make changes to birth certificate. Names can be changed if you can prove your first name has been continually used and publically known for a long time and/or that not changing it would be confusing. Also if your birth name is too difficut to write/pronounce or if it is tainted or 'ridiculous'There are stories of trans people paying off doctors to lie for them and claim they were born their gender and their birth certificate is a mistake, but the risks associated with this route are too high*Intersex people may change gender marker if they can prove they have not had surgeries and were born intersex
Facebook: Association of Transgender People in the PhilippinesNo
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ThailandNoN/AName changes are given at the discretion of the Registrar and are often denied to trans people. Birth Certificates cannot be amended unless there is an error.*Technically has an "O" for "other" option that many Thai trans people find demeaningมูลนิธิข้ามเพศบันดาลใจ (LIFT)No*
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UkraineYesNoA diagnosis from a psychiatrist. As of December 2016, applicants no longer are required to be approved by the "sex change commission"Транс*Коалиция на постсоветском пространствеNo
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United Kingdom
YesNoDiagnosis of "gender dysphoria". Statement that you intend to live your "acquired gender" for the rest of your life.
Lived as your gender for a least 2 years.		Paperwork if you have already changed your name overseas in an 'approved country'. 5 Pounds ($10 CAD)Gender Identity Research and Education SocietyNo
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VietnamYesYesTo change name, a written declaration and accompanying forms to the Civil Status Registry OfficeGender-Affirming Surgery was decriminalized in 2015Facebook: ftm.vietnamNo
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