Transgender Resources

Change Gender Marker on Birth Certificate

The policies for changing gender markers on birth certificates vary state by state, resulting in a complicated patchwork of processes across the country. This resource provides an overview of which states have a process for updating gender markers on birth certificates, and provides the basic outline of what those states’ policies look like. 

Change Gender Marker on Passport

In June 2010, the State Department announced a policy to issue passports that reflect a person’s current gender. Under this policy, a transgender person can obtain a passport reflecting their current gender by submitting certification from a physician confirming that they have had appropriate clinical treatment for gender transition. No specific medical treatment is required. This policy replaced the Department’s old policy, which required documentation of sex reassignment surgery. 

Change Gender Marker on Social Security

Under current policy, a transgender person can change their gender on their Social Security records by submitting either government-issued documentation reflecting a change, or a certification from a physician confirming that they have had appropriate clinical treatment for gender transition. 

FTM Top Surgery Guide

FTM Top Surgery is a gender affirming procedure for transgender men and non-binary individuals that creates a masculine chest. Top Surgery involves breast removal (Subcutaneous Mastectomy) and male chest contouring, and may also include free nipple grafts, or nipple/areola resizing and repositioning.

Top Surgery is the most commonly performed gender reassignment surgery for trans masculine people. Top Surgery helps one to live more comfortably, improving psychological and social functioning, and it may be the only surgical step that one takes in their transition. Transgender Affirming Resources

MTF Surgery

MTF Surgery provides comprehensive patient education for trans women seeking Male-to-Female Transsexual Surgery, plus a directory of select Surgeons who perform MTF Surgery. Use our free resources to find the procedure and Surgeon that are right for you. 

Name Change Laws by State

Welcome to our one-stop hub for name and gender change information. Find out how to get a legal name change where you live and update your name/gender on state and federal IDs and records.

How friendly is the driver’s license gender change policy in your state? Transgender Affirming Resources

Addiction Services

With the transition of athlete and reality TV star Bruce Jenner into Caitlyn Jenner and the acclaim and attention actress Laverne Cox has earned for Orange Is the New Black and other projects, the United States is more aware of and accepting of transgender people than ever before.

That hasn’t been all good news, however. Traditionalist and confused citizens and politicians have responded by barring them from the military and public restrooms that conform to their gender identity.


It’s no wonder, then, that even though transgender people make up less than 1% of the U.S. population, they make up a greater percentage of those with mental health and substance use disorders—a higher rate than the overall LGBTQ community.


Only 3% of people identified as being gender dysphoric in a population-based study released in 2018 were seeking treatment for substance use disorder, but alcohol and substance use is much higher than that:

  • Almost half have engaged in binge drinking, which is drinking a substantial amount of alcohol in a short amount of time (47%)
  • About 1 in 5 used illicit drugs, not including marijuana (19%)
  • More than 1 in 10 engaged in binge drinking as well as using marijuana and illicit drugs at the same time (10.8%)
  • 34% of male-to-female (MTF) transgender individuals report using intravenous drugs at some point in their lifetime, as opposed to 18% of female-to-male (FTM) individuals and 2.6% of the general U.S. population


A study, published in the Journal of School Health—based on a statewide survey of elementary, middle, and high school students—found that transgender students were:

  • Twice as likely to misuse prescription pain medication
  • Two-and-a-half times more likely to use cocaine and methamphetamine
  • Almost three times as likely to huff inhalants
  • Three times as likely to misuse opioids or smoke cigarettes in school.


Another study found that transgender abuse statistics, at least among transgender women, were even higher—as much as 4-10 times higher for alcohol, cannabis, cocaine, amphetamines, methamphetamine, and opioids—because of stigma, both self-directed and external, including discrimination and physical or psychological abuse.


To improve the odds that transgender individuals will seek substance use and mental health treatment that succeeds in the long run, it’s better to find specifically transgender treatment centers, or at least programs.


One such program opened in November 2019 at the Gay and Lesbian Center of the Community Counseling Center of Southern Nevada.  Affirmations offers mental health counseling for the LGBTQ community. Cost isn’t a factor because it accepts state Medicaid, charges for its services on an income-based sliding scale and receives some grant funding.


Affirmations says it addresses LGBTQ clients from a compassionate, “culturally sensitive” perspective not always found in a profession where some still consider non-cisgender or transgender sexuality an illness that needs to be cured and that conversion therapy is appropriate.