On June 9, 2010, the US State Department announced a new policy regarding changing gender designation on passport documentation and Consular Reports of Birth Abroad. In the new guidelines proof of genital reconstruction surgery is no longer a requirement for a passport gender designation change.
Starting June 10, 2010, passport applicants who wishes to change their gender designation will need to present certification from an attending medical physician that he or she has undergone appropriate clinical treatment for gender transition.
Coordinator of Transgender Health Services at PHS and president of the World Professional Association for Transgender Health (WPATH) Walter Bockting, PhD, said, "While we strive toward removal of gender markers from identification documents, these new guidelines appropriately recognize one's social gender role, regardless of one's genital status. It will provide greater comfort and safety for transsexual, transgender, and gender variant individuals and their families."
The new policy and procedures are based on standards and recommendations of WPATH, recognized by the American Medical Association as the authority in this field.
U.S. Department of State Foreign Affairs Manual - Volume 7 Consular Affairs 7 FAM 1300 Appendix M
Walter Bockting, PhD, was quoted in "New Passport Rules Ease Switch for Transgenders," Time, June 12, 2010.