Puerto Rico | National Center for Transgender Equality
As of April 2018, Puerto Rico will change the gender on a birth certificate upon receipt of certification by a professional of the gender identity of the applicant. This policy was established in the case Arroyo v. Rossello, 2018 WL 1896341 (D.P.R. Apr. 20, 2018), and is documented in the Department of Health's Circular Letter 3-18.