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Compare states

What each state and territory allows today. Select a status to open that guide.

You can legally change your name in all 56 states and territories. 12 add extra steps, like a newspaper notice or a hearing. Changing the gender marker is a separate question, and it is where states differ most.

What each state allows, by question
NameGender markerThe sex or gender field (M, F, or X) printed on an ID document or stored in an agency's record.Gender-affirming careProtection
StateCourt name changeLicense or IDBirth certificateAdultsUnder 18Shield lawA state law that protects patients and providers of gender-affirming care from investigations, subpoenas, or extradition attempts by states that ban that care.
AlabamaYesLimitedM or F with proof of surgeryLimitedM or F with proof of surgeryAllowedBannedNo
AlaskaYesYesM or F with a letter from a providerYesM or F with a letter from a providerAllowedAllowedNo
American SamoaLimitedUnclearNo written policy; see detailsUnclearNo written policy; see detailsAllowedAllowedNo
ArizonaYesLimitedM or F with a letter from a doctorLimitedM or F with proof of surgeryLimitedLimitedNo
ArkansasYesLimitedM or F with an amended birth certificateLimitedM or F with proof of surgeryAllowedBannedNo
CaliforniaYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
ColoradoYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedLimitedYes
ConnecticutYesYesXM, F, or X with your own signed formYesXM, F, or X with a letter from a providerAllowedAllowedYes
DelawareYesYesM or F with a letter from a providerYesM or F with a letter from a providerAllowedAllowedYes
District of ColumbiaYesYesXM, F, or X with your own signed formYesXM, F, or X with a letter from a providerAllowedAllowedYes
FloridaLimitedNoCannot be changed right nowNoCannot be changed right nowLimitedBannedNo
GeorgiaLimitedLimitedM or F with proof of surgeryLimitedM or F with proof of surgeryAllowedBannedNo
GuamYesUnclearNo written policy; see detailsLimitedM or F with proof of surgeryAllowedAllowedNo
HawaiiYesYesXM, F, or X with your own signed formLimitedM or F with a letter from a doctorAllowedAllowedYes
IdahoLimitedLimitedM or F with an amended birth certificateNoCannot be changed right nowLimitedBannedNo
IllinoisYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
IndianaYesNoCannot be changed right nowNoCannot be changed right nowAllowedBannedNo
IowaYesLimitedM or F with an amended birth certificateNoCannot be changed right nowLimitedBannedNo
KansasYesNoCannot be changed right nowNoCannot be changed right nowAllowedIn courtNo
KentuckyYesLimitedM or F with proof of surgeryLimitedM or F with proof of surgeryLimitedBannedNo
LouisianaYesUnclearNo written policy; see detailsLimitedM or F with proof of surgeryLimitedBannedNo
MaineYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
MarylandYesYesXM, F, or X with your own signed formYesM or F with a letter from a providerAllowedAllowedYes
MassachusettsYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
MichiganYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedNo
MinnesotaYesYesXM, F, or X with your own signed formLimitedM or F with a letter from a doctorAllowedAllowedYes
MississippiYesNoCannot be changed right nowUnclearNo written policy; see detailsAllowedBannedNo
MissouriLimitedLimitedM or F offeredLimitedM or F with proof of surgeryLimitedBannedNo
MontanaYesIn courtFor now: M or F with an amended birth certificateIn courtFor now: M or F with your own signed formAllowedAllowedNo
NebraskaYesYesM or F with a letter from a doctorLimitedM or F with proof of surgeryAllowedLimitedNo
NevadaYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedNo
New HampshireYesYesXM, F, or X with your own signed formLimitedM or F with a court orderAllowedBannedNo
New JerseyYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
New MexicoYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
New YorkYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
North CarolinaLimitedYesM or F with a letter from a providerYesM or F with a letter from a providerLimitedBannedNo
North DakotaYesYesM or F with a letter from a doctorNoCannot be changed right nowAllowedBannedNo
Northern Mariana IslandsYesUnclearNo written policy; see detailsLimitedM or F with proof of surgeryAllowedAllowedNo
OhioYesLimitedM or F with an amended birth certificateLimitedM or F with a court orderAllowedBannedNo
OklahomaYesNoCannot be changed right nowNoCannot be changed right nowLimitedBannedNo
OregonYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
PennsylvaniaLimitedYesXM, F, or X with your own signed formLimitedM or F with a letter from a doctorAllowedAllowedNo
Puerto RicoYesYesF or M with a letter from a providerYesF or M with a letter from a providerLimitedBannedNo
Rhode IslandYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
South CarolinaLimitedLimitedM or F with a court orderLimitedM or F with a court orderLimitedBannedNo
South DakotaLimitedUnclearNo written policy; see detailsNoCannot be changed right nowAllowedBannedNo
TennesseeYesNoCannot be changed right nowNoCannot be changed right nowLimitedBannedNo
TexasLimitedNoCannot be changed right nowNoCannot be changed right nowAllowedBannedNo
U.S. Virgin IslandsYesUnclearNo written policy; see detailsUnclearNo written policy; see detailsAllowedAllowedNo
UtahYesUnclearNo written policy; see detailsLimitedM or F with a court orderAllowedBannedNo
VermontYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
VirginiaYesYesXM, F, or X with your own signed formYesM or F with a letter from a providerAllowedAllowedNo
WashingtonYesYesXM, F, or X with your own signed formYesXM, F, or X with your own signed formAllowedAllowedYes
West VirginiaLimitedYesM or F with a letter from a doctorYesM or F with a letter from a doctorAllowedBannedNo
WisconsinYesLimitedM or F with a letter from a doctorLimitedM or F with proof of surgeryAllowedAllowedNo
WyomingLimitedUnclearNo written policy; see detailsNoCannot be changed right nowAllowedBannedNo

Birth certificate rules follow the state where you were born, not where you live. Federal documents (passport, Social Security) are the same everywhere and are not in this table. Every page is a draft until a person verifies it.