| − | Different states have different laws regarding the status of people who have had sex change operations. Generally, their birth certificates are reissued with their new claimed legal [[gender]]. Since they are not required to divorce before surgery, this could lead to de-facto [[same sex marriage|same-sex "marriage"]] if they stay with their spouse. The country of [[Brazil]] offers free sex change operations because they are claimed to be a constitutional "right".<ref>http://www.nbcnews.com/id/20323334/ns/health-health_care/t/brazil-provide-free-sex-change-operations/#.U1HYG8fw9Ea</ref> | + | Different states have different laws regarding the status of people who have had sex change operations. Generally, their birth certificates are reissued with their new claimed legal [[gender]]. Since they are not required to divorce before surgery, this could lead to de facto [[same sex marriage|same-sex "marriage"]] if they stay with their spouse. The country of [[Brazil]] offers free sex change operations because they are claimed to be a constitutional "right".<ref>http://www.nbcnews.com/id/20323334/ns/health-health_care/t/brazil-provide-free-sex-change-operations/#.U1HYG8fw9Ea</ref> |