Professional Documents
Culture Documents
unnoticed by most of the population. Yet for many members of the transgender community, the
M or F that follows the word Sex on an identification card can be the source of both minor
inconveniences and devastating strife. Given that legally male and female citizens in Ontario
have equal rights, there is no reason to differentiate on identification cards. For cisgender
individuals, those who identify with the sex assigned to them at birth, although they get no
benefit from their sex designation field, they also would not see any negative connotations
attached to it either. However, sex designation on identification can create restrictive barriers for
the transgender community in many areas, including accessing safe and reliable health care,
support for mental health struggles, and navigating government imposed red tape. The seemingly
harmless single M or F next to Sex is anything but that; it is an easily eliminated source of
struggle and stress for one of the more marginalized populations in Ontario preventing many
Only having identification that suggests a different gender from the individual in question
can cause barriers to accessing safe and reliable health care for transgender people. Whether a
medical issue is related to transition or not, if an individual has a health card with a listed sex
different from their gender presentation, they are potentially opening themselves up to
“estimated that 37.2% of transmasculine and 38.1% of transfeminine persons had prior trans-
specific negative experiences with family physicians” (Bauer, Zong, Scheim, Hammond, &
Thind, 2015b, 11). This does not take into account experiences with access to healthcare outside
of a primary family physician but given the prevalence of negative experiences with a doctor that
has a history with the patient already, these issues are enough to lead to “some trans persons
reporting avoidance of health care due to fears of discrimination” (Bauer et al., 2015b, 2).
Although a lot needs to be done to ensure safe access to medical care for trans individuals, and to
combat transphobia within the medical industry, the removal of sex designation on identification
is a step in the right direction. It would eliminate the need for numerous discussions ranging
from unnecessary to intrusive or harmful regarding an individual’s transition related history that
may have little to nothing to do with someone’s medical visit in the first place. This could make
the difference for someone who is uncomfortable seeking health care in situations where it is
required. This struggle is a common one within the transgender community, placed upon it
entirely by outside expectations of what that sex designation of M or F should mean for the
Simply knowing that the sex listed on a piece of identification is not congruent with a
trans person’s gender can cause significant sources of stress and anxiety; the unique barriers
faced by the transgender community results in limited support for their mental health struggles.
When analyzing the results of the 2009-2010 survey focussing on those participants who had
reported on suicide outcomes, it was determined that “[h]aving one or more identity documents
concordant with lived gender was significantly associated with reductions in past-year [suicide]
ideation” (Bauer, Scheim, Pyne, Travers, & Hammond, 2015a, 7). Further, it indicated that
70.7% of respondents reported suffering childhood physical or sexual abuse and 19.1% report
suffering a major mental health disorder (Bauer et al., 2015a, 12). Not only does the transgender
community have a strong need for support regarding their mental health, but there is also a
strong correlation between having a matching sex designation and gender and improvements in
said mental health. Although there is a process in place to have sex designation updated, the
benefits cannot be seen or felt until that update is made. The process does little to help those who
have yet to go through it or those who cannot or choose not to. This could prove very difficult for
nonbinary individuals, those who may identify with both, neither, or other gender(s). They would
be forced to chose M or F, erasing part of their identity, or the proposed X which can open them
up to discrimination as that can stand out just as much as an improperly assigned M or F (Yang,
2017). Simply eliminating the field can alleviate the struggle of getting identity documents
updated and allow transgender individuals more freedom to access support for their mental
health struggles.
All the barriers imposed on the trans community by the incorrect sex designation on their
identification can seem even more punishing when the process to get the field amended can
create even more challenges navigating government imposed red tape. Currently, the only option
available to transgender Ontarians who are not content with the current designation on their
identification is to complete a series of steps that can be “onerous, expansive or invasive” (Yang,
2017). For one individual, the process to update the gender linked to her social insurance number
turned into a struggle spanning five years and a human rights case, indicating that the current
process is clearly not adequate (Yang, 2017). This becomes further alienating for the trans
community when the results may be just as limiting as the previous designation, forcing
everyone to confine themselves to a binary identity that may not align with who they are. Gender
and sex are two very different categories that often get classified to mean the same thing,
especially within government documents. Gender is something very personal, and for some,
fluid, and sex is not restricted to a binary, despite often cited but now outdated scientific
evidence (Yang, 2017). There is no reason for the government to continue to display the Sex
members of the trans community can face restrictive barriers to accessing safe and reliable health
care, support for mental health struggles, and navigating government imposed red tape. The
impact of all these factors can be dramatically lessened, if not completely avoided by something
as simple as removing the field from government records. If the removal of this single letter from
a piece of identification could improve, or in some cases prevent such damaging impacts
ravaging the transgender community, while offering no notable benefits to society as a whole or
the cisgender population on an individual basis, there should be no reason to justify keeping it.
References
Bauer, G. R., Scheim, A. I., Pyne, J., Travers, R., & Hammond, R. (2015a). Intervenable factors
associated with suicide risk in transgender persons: a respondent driven sampling study in
Ontario, Canada. BMC Public Health, 15(525), 1-15. http://doi.org/10.1186/s12889-015-
1867-2
Baur, G. R., Zong, X., Scheim, A. I, Hammond, R., & Thind, A. (2015b). Factors Impacting
Transgender Patients’ Discomfort with Their Family Physicians: A Respondent-Driven
Sampling Survey. PLoS ONE, 10(12), 1-16. http://doi.org/10.1371/journal.pone.0145046
Yang, J. (2017, January 26). Transgender activists herald landmark case: Federal government
reviews the use of sex information for all identity documents. Toronto Star. Retrieved
from https://login.proxy.library.niagarac.on.ca/login?url=https://search-proquest-
com.proxy.library.niagarac.on.ca/docview/1861759515?accountid=39476