It become much easier this week for trans individuals in New York City to change their gender on their certificate.
Proof of convertive surgery is no longer a requirement nor is a name change.
The change is seen as important for New Yorkers who identify as trans and have suffered bureaucratic nightmares and discrimination because they lack identification documents.
The Transgender Legal Defense and Education Fund says birth certificates are used to provide proof of identity, age and citizenship and could be the only form of identification that low-income New Yorkers have when applying for jobs or public benefits.
The NYC Health Department has also launched a new Trans Health page on its website.
Also this week, New York City launched a municipal identification card program which offers an official form of identification to all New Yorkers. That includes people, such a transgender and the homeless, who have difficulty obtaining state IDs.