Maryland MVA Gender Change Process

The following information is taken from the text of a letter from the Maryland Motor Vehicle Administration. All language was provided by the MVA, and does not reflect the positions of Gender Rights Maryland. It is provided for informational purposes for anyone in the State of Maryland who is hoping to change the gender marker on their driver’s license or other identification card.

During the transitional change (“The Real-Life Experience”), before the Courts can approve a permanent gender change you may request that your driver’s license be changed to reflect your desired gender. To accomplish this, you will have to submit the following documents to the Motor Vehicle Administration for review by its Medical Advisory Board:

  • 1. A letter from you formally requesting a change in gender status. This letter should explain the reason(s) for your request and how you believe you would benefit from this.
  • 2. A letter from the physician administering your hormone therapy and assisting you with any plans you may have for surgery. This letter should indicate the length of time you have been in treatment as well as a statement clarifying the doctor’s impression of your treatment progress and your prognosis for favorable outcome.
  • 3. A letter from your psychotherapist stating the length of tie you have been in treatment, the length of time you have recognized your desire to live in your desired gender, and the length of time you have been living in your desired gender (both privately and publicly). The therapist should summarize your situation, the progress of treatment, the anticipated course of treatment, obstacles to be overcome, and prognosis. The therapist’s professional credential, practice affiliation(s), and current license(s) should be stately clearly.

Upon receipt of all of this information, the Medical Advisory Board will be asked to review the package and render a recommendation to the Administration. If you request is approved, you will receive a letter confirming this. You may take this to any full-service MVA office, where a license reflecting you desired gender will be issued.

If you need additional information, or if there is anything else I might be able to help with, please don’t hesitate to call Ms. D. Fedorkowicz at 410-768-7176 or This email address is being protected from spambots. You need JavaScript enabled to view it. .

You will need to mail the above documents to:

Maryland Motor Vehicle Administration
6601 Ritchie Highway, NE
Glen Burnie, MD 21062
ATTN Medical Advisory Board


Below you will find edited versions of letters that were actually used and approved by the MVA.  You, your physician, and therapist may craft different letters as may be appropriate to your situation.

Example Personal Letter

October 29, 2010

Motor Vehicle Administration
Driver Wellness and Safety
6601 Ritchie Hwy.
Glen Burnie, MD 21062

Re: Gender Identifier Change on Drivers License #____________________

To whom it may concern:
I am transitioning my physical gender from male to female. As I am now living full time as a woman in preparation for future gender reassignment surgery, I am asking the Maryland Motor Vehicle Administration to change the gender identifier on my driver's license from male to female in accordance with MVA Policy 26300-001. I am requesting this change to eliminate the embarrassment, safety concerns and complications caused by having a male gender identifier on my driver's license when my license is presented as legal identification. I realize any gender change on my license granted by the Maryland MVA would only be temporary and would be contingent on the completion of gender reassignment surgery in 2011.

Throughout my gender transition, I've been following the requirements of the World Professional Association for Transgender Health's Standards of Care in preparation for future gender reassignment surgery. Below is a synopsis of the treatment I have undergone to date, my plans for completing my transition and information concerning my mental health and medical providers.

Upon completing the disclosure of my transsexualism to my family, friends and employer, I began living full time as a woman in April 2010. In September 2010 my name was legally changed to ________________________. Since then I've changed my name on my social security card, and other documents and accounts.

Some time shortly after April 2011, after fulfilling the one-year real life experience requirement of the Standards of Care, I plan to have genital reassignment surgery.

Please find attached letters from my Endocrinologist and Therapist in support of this request.
Also attached is an application to update the gender identifier on my driver's license from male to female.

I hope you act quickly to approve this request.


_____________________[your name]

Example Physicians Statement [On Letterhead]




To whom it may concern:

The above patient is under my care since 2/2009.  Hormonal therapy was started on 2/2009 for gender change.  Treatment progress has been appropriate and prognosis is good for a favorable outcome.




Example Therapists Statement [On Letterhead]

August 6, 2010
Motor Vehicle Administration
Driver Wellness and Safety
6601 Ritchie Highway
Glen Burnie, MD 21062

Dear Wellness and Safety Division:
I am wnting this letter at the request of _______________ who is applying for a gender designation change on her driver's license. I am a psychotherapist in private practice who specializes in gender identity issues with over 20 years of experience. I am on the faculty of the ___________ School of Medicine and am clinical coordinator of the __________ Behaviors Consultation Unit. I am a member of the World Professional Association for Transgender Health and practice under their Standards of Care. I have been asked to write such letters for a number of my patients i.n the past.

________________ is an individual who was born male but since has undergone legal name change and is currently living in the female gender. Thus, I will henceforth refer to her by female pronouns. I met with ________________ on November 11, 2008 for the purpose of evaluation. After completing evaluation on _______________, I arrived at a diagnosis of Gender Identity Disorder for which the recommended treatment is gender transition, essentially moving from living as male to living as female.

_____________ has had persistent feelings of gender dysphoria since the age of ___. Throughout her Life she has periodically cross dressed to make her outside presentation more consistent with her internal feelings. Since the fall of 2008 after beginning therapy she has made movement toward living as female. She began to read about transsexuality, underwent electrolysis and vocal coaching In July of 2009 she began feminizing hormones. She is currently active and involved in gender support groups. To date she dresses and appears as female. Her presentation is convincing and she has full intention of living consistently as a female.

The above noted changes are consistent with the recommendations made by the World Professional Association for Transgender Health, the body responsible for setting treatment standards. Because the criteria have been met, in my judgement, ____________ should be considered a member of the female gender at this point. Thus her driver's License should reflect this fact, otherwise problems may ensue.

If you require further information or have additional questions, please do not hesitate to contact me.

__________________, PhD