Missouri Tightens Requirements for Gender Marker Changes on IDs

New policy mandates proof of surgery or court order, sparking concerns from LGBTQ+ advocates.

State now requires medical documentation of gender reassignment surgery or a court order for ID updates.
Previous policy allowed changes with a physician's signature, without surgery or court order.
Policy change follows controversy over a transgender woman's use of a gym's women's facilities.
LGBTQ+ advocates criticize the lack of public input and potential legal challenges are anticipated.
Missouri joins a handful of states with similar stringent requirements for gender marker changes.