Until 2018, transgender people often had to go to court to change their documents. According to the law, it is possible to change a gender marker only on the basis of a document of the established form given by a medical commission. It is written that there should be an appropriate form, but in practice, there was no any for many years.
Therefore, the registry offices had two ways: to accept any form of certificate, or not to accept it at all. The practice differed greatly by region, more often people had to go to court. It took on average from several months to a year. If the birth certificate was issued abroad, the procedure could last several years.
In 2018, the certificate form was finally adopted by the Ministry of Health. The draft form was not very good, but it was possible to finalize and improve it with the participation of activists. And now, fortunately, everything has changed administratively. If there is a standard form, signatures of doctors, seals, a medical license, then there are no reasons for refusal from the registry office. Problems arise only if the documents are lost, or the citizen was born in another country, then the process can last for years.
What is the procedure now?
A person comes to a psychiatrist, he/she is diagnosed with F-64.0. Then, depending on the region and the situation, some kind of observation may go on. Then the psychiatrist gives a referral to the commission on sexual reorientation. The Commission decides: "yes, required," or "no, not required." The certificate is signed by a psychiatrist, psychologist and sexologist. There may be difficulties with sexologists, there are not enough of them in the country. They can send you for some kind of examination.
If everything is in order, a standard certificate is issued. Then a person changes documents in the registry office within a month. First, he receives a new birth certificate, and on its basis, he changes his passport and other documents.