Ohio, Tennessee, and Puerto Rico are the only U.S. jurisdictions that do not allow transgender people to correct the gender marker on their birth certificates. A birth certificate is an identity document routinely used for many purposes. Ohio provides all other individuals born in the state with a birth certificate that accurately reflects their gender identity and other information. Transgender people, however, are denied this right. Because transgender Ohioans can correct their gender markers on other key identity documents including Ohio drivers’ licenses, and on federal documents such as passports and social security cards – and because transgender people are typically perceived by others accurately and consistent with their gender identity – an incorrect gender marker on their birth certificates discloses their transgender status. This unwanted revelation of extremely personal and intimate information causes transgender people to suffer discrimination in housing and employment, invasions of privacy, harassment, humiliation, stigma, and even violence.