To alter the birth register to record a change of sex, you must be:

• aged 18 years or older or be the parents of a child (or a parent if the applicant is a sole parent) or the guardian of a child and,
• whose birth is registered in NSW,
• who has undergone a sex affirmation procedure,
• who is not married.

To register a change of sex, you must be:

• aged 18 years or older or be the parents of a child (or a parent if the applicant is a sole parent) or the guardian of a child and,
• whose birth is not registered in Australia,
• who is an Australian Citizen or permanent resident of Australia,
• who lives and has lived for at least one year in NSW,
• who has undergone a sex affirmation procedure,
• who is not married.

Your application to record a change of sex or to register a change of sex must be accompanied by statutory declarations from two (2) Medical Practitioners who are registered in Australia, confirming that the sex affirmation procedure has occurred.