but in some of those cases patients are still not allowed to make the change without showing a physiological shift to the opposite gender.--Snip-- OUCH!!!
So, what happens when this.....person, travels outside ov NY? How do they then explain themselves?
(In a deep, gravely voice) "Yeah, I'm a woman. Sez it here in my boith certificate."
"Uh, er... I've been excerpted."