10- 146 C.M.R. ch. 2, § 11
Any person born in the State whose sex has been changed by surgical procedure and whose name has been changed by judicial decree from a court of competent jurisdiction may present a certified copy of the notification form (VS-14), a notarized affidavit by the physician who performed the surgical procedure to the Office of Vital Statistics and a form VS-7 requesting that his or her birth certificate be amended accordingly.
A new birth certificate shall be prepared in accordance with section 6, subsection C of this chapter.
A notation shall be entered on the certificate indicating that the name of the registrant has been changed pursuant to court order. The date of the court action, the name and location of the court, the date surgical procedures were completed, and the day the record was amended shall also be entered on the certificate, in such a way as not to become a part of any copy issued.
Certificates established under this section shall not be regarded as amended.
The fee for processing a legal sex change shall be paid at the time that the request and the surgeon's affidavit are presented to the Office of Vital Statistics. It includes a complimentary certified copy of the new record after amendment.
10- 146 C.M.R. ch. 2, § 11