It is possible to surgically change gender in Latvia and to legally change identity to reflect this. Latvian law does not define "sex change", but a medical certificate must be submitted to the authorities in order to legally change gender. However, in 2004, authorities denied a change of legal identity to a transgender person who had undergone a partial sex change. The person, who reported having knowledge of another case in which their legal sex was changed after a partial sex change, took legal action. The Supreme Court of Latvia ruled in 2008, that in this particular case, legal identity should have been changed as the authority had done so in similar cases and the person, already presenting as male, might face a variety of issues having to legally identify as female. This resulted in a 2009 legislative proposal to amend laws, which would have made it mandatory for transgender people to undergo sterilization (which could have caused further legal complications) in order to change their legal gender. The amendments were, however, rejected by the Saeima (Parliament).
