For a comprehensive guide on how to change your gender in France, we recommend you to read this article.
Initially, changing your gender on civil registration was not allowed in France. Indeed, this restriction was based on the fact that changing your gender identity didn’t match the sex you were assigned at birth.
Following the condemnation of France by the European Court of Human Rights based on the Article 8 of the ECHR, things started to change.
Changing your gender on civil registration was first only upon providing evidence of a medical treatment resulting in sterility.

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