As a person born in Virginia, now living in another state, the existing state requirements make it nearly impossible to change my birth certificate, hence my Georgia drivers license, to match my passport. This means I bave conflicting identification on me when I travel , apply for jobs and more. Please remember that doctors, at birth, do not perform genetic testing, hence many people grow up as ome assigned sex as determined by visual inspection, but are later determined to be the opposite sex when genetic testing is performed. Check with the board of health to confirm this well known fact.