Some good news this morning:
Washington state is now also allowing changing a birth certificate to "X" instead of M or F!
I got an email about it just this morning. :-)
https://www.doh.wa.gov/LicensesPermitsandCertificates/BirthDeathMarriageandDivorce/RuleMaking
@emanate yeah, I was born in Virginia, I'm not particularly optimistic about being able to change it any time soon