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Lambda Legal filed a federal lawsuit challenging the State of North Carolina’s discriminatory policy requiring transgender people to have undergone “sex reassignment surgery” in order for them to obtain an accurate birth certificate reflecting who they are.

Lambda Legal filed the lawsuit in the U.S. District Court for the Middle District of North Carolina on behalf of three plaintiffs: Lillith Campos, who is an adult, and two minor teenagers: C.B., through his parent Shelley K. Bunting; and M.D., through her parent Katheryn Jenifer. Lillith, C.B., and M.D. were all born in North Carolina but are unable to obtain a birth certificate accurately reflecting their identity due to the state’s discriminatory surgical requirement.

The lawsuit argues that denying transgender North Carolinians the ability to obtain accurate birth certificates unless they undergo ”sex reassignment surgery” discriminates against them on the basis of sex and transgender status, invades their privacy, and violates their rights to liberty and medical autonomy. In addition, the lawsuit argues that forcing transgender people to hold essential documentation with an inaccurate sex designation infringes on their free speech under the First Amendment, and also prevents transgender people from accurately expressing their gender identity.