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Mississippi

ID documents
Restrictive
Care
Restrictive
Shield lawA state law that protects patients and providers of gender-affirming care from investigations, subpoenas, or extradition attempts by states that ban that care.
No

Mississippi is one of the most restrictive states for trans people.

More about Mississippi

Adults (21 and older) can still change their name in chancery court, with no newspaper publication, but a judge must approve it at a hearing. Since July 1, 2026, driver's licenses must show the sex recorded at birth, and a 2024 law defines sex as "objective and fixed." Gender-affirming medical care is banned for anyone under 18. Adults can get hormone therapy, mostly through telehealth or a few clinics. Mississippi has no shield law.

This state’s pages are drafts written from official sources and not yet checked by a person. What this means

Your documents, in order

Most people go in this order, because each office checks the one before it. On every document, updating your name and changing your gender marker are separate questions with separate answers.

  1. Legal name changeState court
    Name
    YesNo newspaper notice, court hearing required
  2. Social SecurityFederal, same in every state
    Name
    YesAfter your legal name change
    Gender marker
    NoCannot be changed right now
  3. Driver's license / state IDMississippi DMV
    Name
    YesAfter your legal name change
    Gender marker
    NoCannot be changed right now
  4. US passportFederal, same in every state
    Name
    YesAfter your legal name change
    Gender marker
    NoCannot be changed right now
  5. Birth certificateOnly if born in Mississippi
    Name
    YesAfter your legal name change
    Gender marker
    UnclearNo written policy; see details

Born somewhere other than Mississippi? Your birth certificate follows the state where you were born. Choose your birth state

Gender-affirming care

Adults
Allowed
Under 18
Banned
Adults can legally get hormone therapy and surgery in Mississippi, though few in-state clinics advertise it and telehealth (Plume, QueerMed) fills much of the gap.Find clinics, health centers, telehealth, and ways to pay

Local help

Statewide organizations

Sources for this page (10)

Sources

10 sources. Numbers in the text, like [1], point here.

  1. SB 2322 (2026), amending Miss. Code § 63-1-35 (driver's license sex designation), as sent to GovernorMississippi Legislature, Law. accessed
    “shall bear a designation of the sex of the individual which shall be consistent with the sex of the individual determined at birth”
  2. SB 2753 (2024), SAFER Act, creating Miss. Code § 1-3-83 (definitions of female, male, sex)Mississippi Legislature, Law. accessed
    “"Sex" is objective and fixed.”
  3. HB 1125 (2023), Regulate Experimental Adolescent Procedures (REAP) ActMississippi Legislature, Law. accessed
    “A person shall not knowingly provide gender transition procedures to any person under eighteen (18) years of age.”
  4. Mississippi's equality profileMovement Advancement Project, Organization. accessed
  5. Identity Document ResourcesACLU of Mississippi, Organization. accessed
  6. Mississippi Name Change Guidelines (October 2023)ACLU of Mississippi, Organization. accessed
    “Questions? Contact us! LGBTQ Justice Project, ACLU of Mississippi, Phone: (601) 354-3408 Ext. 114”
  7. Mississippi Legal ServicesOrganization. accessed
  8. Trans in the South Access ProjectCampaign for Southern Equality, Organization. accessed
  9. Trans Youth Emergency ProjectCampaign for Southern Equality, Organization. accessed
    “Families of trans youth can receive travel grants of $500 to help pay for travel expenses.”
  10. Trans LifelineOrganization. accessed