How are gender identities formed?

Gender identity, in nearly all instances, is self-identified, as a result of a combination of inherent and extrinsic or environmental factors; gender role, on the other hand, is manifested within society by observable factors such as behavior and appearance.

Is gender learned or innate?

Large-scale twin studies suggest that rather than shared environmental factors (i.e., cultural factors), which have a negligible role, the development of both transgender and cisgender gender identities is due to innate genetic factors, with a small potential influence of unique environmental factors.

Can a birth certificate be amended after a legal name change?

If a legal name change is completed subsequent to the establishment of a new birth certificate, the new birth certificate will have to be amended separately in accordance with name change procedures. Summary: Hawai’i will issue a birth certificate reflecting the proper sex. Statute: Idaho Code § 39-250 (2005). Administrative Code: Idaho Admin.

Are people assigned as male or female at birth?

People who are assigned male at birth are usually raised as boys and men. People who are assigned female as birth are usually raised as girls and women. In an article in The Independent in 2017, Kashmira Gander explained why those assignments are flawed:

Can I change the gender marker on my birth certificate?

Some state laws allow adults with a non-binary identity to have their birth certificate amended to gender-neutral without requiring a note from a medical professional. In other states, individuals that wish to change the sex marker on their birth certificate are required to provide proof of gender confirmation surgery.

Are alternative birthing methods covered by insurance?

Whatever you decide, remember that, like doctors and medical treatments, not all alternative birthing specialists and methods are covered by insurance, so be sure to check with your carrier. Birth centers are health care facilities that feel more like a home than a hospital.