Missouri Gender Marker Change

ID Gender Marker Change

If you are interested, you can request a gender designation change on your state issued ID when updating your ID to reflect your name change. This takes some extra steps including meeting with a Physician, Therapist/Counselor, or Social Worker that is willing to support you in the gender marker change application.

You will need to present the following to any DMV:

You MAY be asked to present

If you are in St. Louis City, it may be convenient to go to the DMV in Rm 111 of City Hall after obtaining the amended birth certificate from Vital Records Office in Rm 127.

Birth Certificate Gender Change

Regardless of what state someone resides in now, if they were born in Missouri then they generally must follow Missouri's legal requirements to amend the gender marker on their Missouri birth certificate. There is a legal requirement that the person has had a "surgical procedure", but the definition of that has not been settled.

With enough knowledge and perseverance, many types of legal matters can be resolved without an attorney. However, there are some types of cases that seem to require an attorney in order to obtain a successful outcome.

We are very sorry to say that the process to change the gender marker on a Missouri birth certificate has become so legally fuzzy and so bureaucratically complex (at least in the St. Louis area courts) that we do not feel comfortable suggesting anyone attempt to do it without an attorney

Frankly, the St. Louis County and St. Louis City judges are transphobic and/or caving into pressure from transphobic politicians. They continue to move the goalpost concerning what kind of medical evidence they require to approve gender marker changes.
Additionally, the Missouri Bureau of Vital Records seems to be finding more and more reasons to reject gender marker amendments.

For the foreseeable future, a Missouri birth certificate gender marker change is almost always going to need a lawyer to be involved, and hiring one often costs around $1000.00.

HOWEVER, from what we have heard, many people are comfortable leaving the birth certificate gender marker so long as the gender marker on their state ID and/or passport changes (which does not need a lawyer).
That being said, we believe in mutual aid and letting people choose what is best for them. Soooooo ...