Drivers License renewal in Massachusetts includes "transsexual" checkoff.

Reflects the strength of the homosexual movement in Massachusetts government, and influence of Dan Grabouskas, openly homosexual who ran the Department of Motor Vehicles. Public acceptance of "transgenderism" is the latest political push by the homosexual movement.

Notice that they don't have a checkoff for your height being changed? That actually happens as people get older. But there's not a well-funded lobby for that one!