Abstract
This paper uses data from the Behavioural Risk Factor Surveillance Survey (BRFSS) over the period 2014–2019 to analyse the impact of removing surgical requirements to change legal gender. In many states transgender people are forced to undergo surgical procedures if they wish to change their gender on ID documents, which can be invasive, expensive, and is not always desired. In the present work state variation in the timing of the removal of surgical requirements is exploited within a triple difference framework to analyse the causal impact of these removals on the employment of transgender people, for the first time. The findings highlight that removing surgical requirements for transgender people to be able to reassign gender on birth certificates increases the employment of female to male transgender people, but has no effect on male to female or gender non-conforming transgender people.
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