Passports are valid for different lengths of time depending on where you are in your gender transition.
|Status of Gender Transition||Validity of Passport|
|You have had appropriate clinical treatment*||
10 years (Adult)
5 years (Child under 16)
|You are in the process of getting appropriate clinical treatment||2 years|
*Your physician determines what appropriate clinical treatment is.
You must apply using Form DS-11, unless you are replacing a limited-validity passport in your correct gender (see below). In addition to the regularly-required documents*, submit the following:
*See Apply in Person for all regularly-required passport documents.
A signed, original statement from a licensed physician must be on office letterhead and include:
A template medical certification is available for download here.
You may have received a limited-validity passport because your gender transition was still in process. To replace a limited-validity passport for a full validity passport, submit Form DS-5504 (at no additional cost). To use this form, you must apply within two years of your previous passport's issue date.
Submit the following:
Description of specific treatments is not required. The certification from your physician is based on his or her judgment of your treatment needs. This is in accordance with standards and recommendations of the World Professional Association for Transgender Health (WPATH), recognized as the authority in this field by the American Medical Association (AMA).
No, your (or your child's) citizenship evidence (e.g. U.S. birth certificate) and ID do not have to show the updated gender marker, but the photo on the ID must resemble the applicant's current appearance.
Your physician determines what appropriate clinical treatment is according to acceptable medical practices, standards and guidelines, and certifies that you have had appropriate clinical treatment for gender transition to either male or female. Surgery is not a requirement to get a U.S. passport.
Yes. The medical certification you submit must either state that you are in the process of having appropriate clinical treatment (2-year passport) or have had appropriate clinical treatment (10-year passport for adults, 5-year passport for children under 16) for gender transition. The certification must be on office letterhead, from a licensed physician stating that she/he has either treated you or has reviewed and evaluated your medical history, and that she/he has a doctor/patient relationship with you. Surgery is not a requirement to get a U.S. passport.
Yes. The first time you are changing your gender marker in a passport, you must use Form DS-11. After that, you can renew by mail using Form DS-82, if you are eligible. Children under age 16 must use Form DS-11 and appear in-person with both parents/legal guardians when applying for a passport.
The medical certification requirements are the same for a child as they are for an adult. However, parental consent is required when the child is under age 16.
No, the medical certification must be from a licensed physician – either a Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.).
Yes. Please keep in mind that the new photo must resemble your current appearance and meet the passport photo requirements.
Yes, you still need to submit a medical certification. We need this because the requirements for amending the gender marker on birth certificates and other domestic documents vary from state to state.
Yes, you still need to submit a medical certification. We need this because the requirements for obtaining a court order changing gender vary from state to state.
No, the only genders available for a passport are male and female.
No. No one, including acceptance agents and passport agency staff, should ask you anything regarding your medical history, other than for you to provide the required medical certification.
No. Your ID can be in either your current or previous name, as long as you submit a court order documenting your name change to the current name.