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(US) Consider getting a Passport

travel.state.gov /content/travel/en/passports/need-passport/apply-in-person.html
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Right now, you're able to select the appropriate gender marker on your passport without a note from a medical professional (and a passport can be used in the vast majority of situations you'd use a birth certificate) but because the self select gender marker was done by executive action, it's extremely likely to be reversed when Trump takes office.

Also, having one might be a good idea in general.

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