In March, a New York City trial court ordered the New York City Department of Health to accept a note from a doctor as proof of “corrective surgery” necessary to support a name change by a transgender man.  The Department requested that Louis Birney provide the name of the specific surgery performed on him in order to be satisfied that Birney underwent corrective surgery.  The Department claims that robust proof of a permanent sex change safeguards the integrity of a crucial identity record, one used to obtain important items ranging from passports to government benefits.  Birney said the request invaded his privacy.