The United States has issued its first gender-neutral passport, featuring an 'X' gender designation.
Zzyym was previously denied a passport after failing to check male or female on an application.
Zzyymm was born with ambiguous physical sexual characteristics. They were raised as a boy and had several surgeries that failed to make them appear fully male, according to court filings. The State Department's denial of their passport prevented them from travelling to a meeting of Organisation Intersex International in Mexico.
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