Gender Marker – Nova Scotia

Birth Certificate
As of early 2019, persons with birth certificates issued in Nova Scotia are now able to change their gender designation on their birth certificates to F, X, or M. The manner in which to apply to change your sex designation remains age-dependent.

Of note, the current forms do not seem to offer an ‘X’ designation. We are currently looking into why this may be, when it appears to be promoted by the provincial government as an option.

Nova Scotia allows for a change of sex designation on birth certificates, in an age-dependent manner. There is no requirement to have gender-confirming surgery to change your gender marker.

In all cases, the applicant must complete the following requirements:

  1. An application for a change of sex designation; and
  2. A self-declaration from the applicant stating that they have assumed, identify with, and intend to live in a gender identity that corresponds with the desired sex designation; and
  3. A letter of support (declaration) from a professionally designated individual, such as a doctor, social worker, nurse, or psychologist, that in their opinion the sex marker on your birth certificate does not correspond to the gender that you identify with; and (potentially)
  4. If the applicant is 15 years of age or younger, and where applicable, they must provide an original court order to dispense with consent and/or legal guardianship papers.

The above requirements, along with the prescribed fees must be submitted to Vital Statistics in person, via mail or fax.

In each case, the processing time takes approximately 3 to 5 weeks.

16 Years of Age or Older
If the applicant is 16 years of age or older, they must complete the Change of Sex Designation – 16 Years of Age or Older form.

Under 16 Years of Age
If the applicant is below 16 years of age, they must complete the Change of Sex Designation – 15 Years of Age or Younger form. The application also contains parental/guardian consent papers that must be completed. If applicable, an original court order to dispense with this requirement may be included with the application.

Sources: Nova Scotia Vital Statistics Act; Nova Scotia Vital Statistics – Changing Your Sex Designation, 16+Nova Scotia Vital Statistics – Changing Your Sex Designation, Under 16New Gender Identity Option for Birth Certificates.

Health Cards
As of February 11, 2019, Nova Scotia residents can now opt to remove the sex designation/gender marker from their Nova Scotia health cards. This will not remove or change what is already in the system, but will remove the indicator from the front of the card.

This service is available free of charge.

If you would like to request the removal of your sex designation from your health card call MSI Registration and Inquiry at 902-496-7008 or 1-800-563-8880 (toll free in Nova Scotia).

Sources: Nova Scotia MSI – Health Cards.