Trans Resource Navigator

Puerto Rico

ID documents
Mixed
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

Puerto Rico lets people born there change the gender on their birth certificate to F or M without a court order, and anyone with a Puerto Rico license can update its gender with a clinician's signature.

More about Puerto Rico

There is no X option. Name changes go through the Tribunal de Primera Instancia (or a notary) with no newspaper publication. Ley 63-2025 bans hormones and gender-affirming surgery for everyone under 21 and bars public funds from paying for it. Care is legal for adults 21 and older.

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, hearing sometimes
  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 IDPuerto Rico DMV
    Name
    YesAfter your legal name change
    Gender marker
    YesF or M with a letter from a provider
  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 Puerto Rico
    Name
    Limited
    Gender marker
    YesF or M with a letter from a provider

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

Gender-affirming care

Adults
Limited
Under 18
Banned
Hormone therapy and surgery are legal for adults 21 and older in Puerto Rico.Find clinics, health centers, telehealth, and ways to pay

Local help

Statewide organizations

  • Servicios Legales de Puerto Rico[6]

    Free civil legal aid for low-income people in every region of Puerto Rico. Central intake (787) 728-5070 or 1-800-981-5342.

    • Free
    • Community reported
    787-728-5070Languages: Español, English

  • ACLU de Puerto Rico[7]

    Tracks and challenges anti-trans laws in Puerto Rico, including Ley 63-2025, and supports the X-marker case.

    • Free
    Languages: Español, English

  • Trans Lifeline[8]

    Peer-support hotline run by and for trans people, 877-565-8860, with Spanish-speaking operators.

    • Free
    877-565-8860Languages: English, Español

  • Línea PAS (ASSMCA)[9]

    Puerto Rico's 24-hour mental health and crisis line, 1-800-981-0023.

    • Free
    1-800-981-0023Languages: Español, English
Sources for this page (9)

Sources

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

  1. Cambio del identificador de género en el Certificado de NacimientoPoder Judicial de Puerto Rico, Court. accessed
  2. DTOP-DIS-324, Solicitud para el cambio de género de personas transgéneroDepartamento de Transportación y Obras Públicas, Form. accessed
  3. Ley Núm. 63 de 2025LexJuris de Puerto Rico, Law. accessed
  4. Lambda Legal statement on the First Circuit decision in De la Fuente DíazLambda Legal, Organization. accessed
  5. Puerto Rico's equality profileMovement Advancement Project, Organization. accessed
  6. Servicios Legales de Puerto RicoOrganization. accessed
  7. ACLU de Puerto RicoOrganization. accessed
  8. Trans LifelineOrganization. accessed
  9. Programas de SaludDepartamento de Salud de Puerto Rico, Official page. accessed