Nevada will change both name and sex, and will issue a new birth certificate rather than amend the old one.
You will need an original letter from your SRS surgeon and an original or certified copy of the court order for your name change.
CODE
440.130 Preparation of new birth certificates for persons having undergone sexual transformation. 1.) The state registrar may prepare the new certificate of birth for a person having a sexual transformation only upon order of a court of competent jurisdiction. 2.) The court order must specify those facts to be changed on the new certificate. All other items must remain as on the original certificate.
CONTACT INFORMATION
Emil DeJan
Bureau Chief, Health Planning and Statistics
Office of Vital Records