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<p>The only method of legally changing gender is through the process set out in the
Gender Recognition Act 2004. This involves applying for a Gender Recognition Certificate,
which can then be used to obtain a new birth certificate. This process is only open
to those aged 18 and over.</p><p> </p><p>Medical transition is governed by the NHS,
and surgery is not available to those under the age of 18. Cross-sex hormones can
only be prescribed under strict clinical supervison from the age of 16.</p><p> </p><p>Social
transition, such as changing the name you are known by, and the pronouns you use,
can be done by anyone at any age, and is often subject to a discussion between a child
and their parents if it happens before age 18.</p>
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