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Birth certificates are typically issued by the Vital Records Office of the state or equivalent territory, or capital district where the birth occurred, and thus the listing of biological sex as male or female on the birth certificate and whether or not this can be changed later is regulated by state or equivalent law. However, federal law regulates sex as listed on a Consular Report of Birth Abroad, and other federal documents that list sex or name, such as the U. Laws concerning name changes in U. States vary in the extent to which they recognize transgender people's gender identities , often depending on the steps the person has taken in their transition including psychological therapy , hormone therapy , with some states making sex reassignment surgery a pre-requisite of recognition.

Same-sex sexual activity among consenting adults is legal. In January , a decree issued by President Pedro Pablo Kuczynski prohibiting all forms of discrimination and hate crimes on the basis of sexual orientation and gender identity took effect. In a landmark ruling published on 9 January , the 7th Constitutional Court of Lima ruled in favor of recognizing and registering a same-sex marriage, between a Peruvian citizen and a Mexican citizen, performed in Mexico City in , though this ruling was appealed, and is currently before the Supreme Court. Homosexuality has been used as grounds for separation or divorce. Laws meant to protect "public morals" such as Article of the Penal Code on "obscene exhibitions and publications" have also been used against lesbians and gays. In the s, the founding of the organisation Movimiento Homosexual de Lima MHOL managed to bring about at least a slight change in the way the media treated homosexuality. Known LGBT persons may face persecution by the public.

The stories we heard from trans people we met ranged from being forced into a mental hospital for a month and subjected to various tests, to being publicly outed in the media. Skip navigation! In we were invited to speak about trans issues at an annual Pride festival called Queerfest in St.

Photograph: Nick Bradshaw. A transgender woman who was asked to leave a Dublin bar last year has received an out-of-court settlement and an apology from its owners. She had not yet ordered a drink when the security guard approached her, telling her she had to leave. They started arguing with the guy. I was stopping myself crying.