Ohio statute does not provide any guidance on updating the gender marker on a birth certificate. Currently, the Ohio Department of Health is refusing to issue birth certificates with updated gender markers, even when presented with a court order for gender change.
In the past, the Ohio Department of Health was issuing updated birth certificates when presented with a court ordered gender change from another state. Generally speaking individuals have not been able to get a court order of gender change from an Ohio court, due to an old Ohio court decision stating that courts do not have the authority to issue such orders. To apply for an amended birth certificate applicants can submit the completed application for birth certificate, the court order ordering the change of sex (and name if applicable), and the associated fee to purchase the certificate.