Appropriate treatment for gender dysphoria includes obtaining accurate identity documents that reflect a transgender person’s authentic life. A Michigan statute, however, prohibits transgender people from changing the gender on their birth certificate unless they undergo sex reassignment surgery. This prevented transgender persons born in Michigan from correcting their birth certificates if they are unable to undergo surgery for medical or financial reasons, or simply do not want it. In February 2021 the Director of the Michigan Department of Health and Human Services (MDHHS) requested an opinion from Attorney General Dana Nessel as to the constitutionality of the surgery requirement in Michigan’s birth certificate law. In March 2021 we submitted a letter, joined by Michigan LGBTQ organizations, urging the Attorney General to find that the surgery requirement was unconstitutional. The letter explained that the statute violated the right to equal protection under the law, the due process right to privacy, the due process right to refuse medical treatment, and the right to freedom of expression. In July 2021 the Attorney General issued an opinion agreeing with our position and declaring that the gender reassignment surgery requirement to correct a birth certificate violated both the equal protection and privacy rights of transgender people born in Michigan. In response, MDHHS immediately stopped enforcing the requirement. (ACLU of Michigan Attorneys Jay Kaplan and Dan Korobkin; National ACLU Attorney John Knight.)