Missouri residents are now required to provide proof of gender-affirmation surgery or a court order to update their gender on driver's licenses, as per a recent policy change by the Revenue Department. Previously, the state only required doctor approval, without the necessity of surgery, to change the gender listed on state-issued identification.
The Revenue Department did not provide specific reasons for the change but outlined the new rules, stating that customers must present medical documentation of gender reassignment surgery or a court order declaring gender designation to obtain a driver's license or nondriver ID card reflecting a gender different from their biological gender assigned at birth.
