Change of sex designation

You can change the sex designation on your Saskatchewan birth certificate, health card or both. 

Sex designation options include: 

• M – male 
• F – female 
• X – non-binary 

You can also choose non-display, so your sex designation doesn't appear on your health card.  

Once your Saskatchewan birth registration is updated, the X marker can also appear on future vital event registrations or certificates, such as a marriage certificate. 

How to apply

Choose the option that best matches your situation. 

Change your birth certificate and health card

If you were born in Saskatchewan, live in Saskatchewan and want to update both documents at the same time: 

Complete the Change sex designation on a Saskatchewan birth certificate and health card form. 

Change your birth certificate

If you were born in Saskatchewan but don’t live in Saskatchewan: 

Complete the Change sex designation on a Saskatchewan birth certificate form. 

Change your health card to match your birth certificate

If your birth certificate already shows the sex designation you want on your health card: 

Complete the Change sex designation on a Saskatchewan health card form.  

Change your health card without a birth certificate 

If you were born outside Saskatchewan and can’t get a birth certificate with your requested sex designation: 

Complete the Change sex designation on a Saskatchewan health card (born outside Saskatchewan) form. 

Request a birth certificate without sex designation

If you were born in Saskatchewan, you can request a birth certificate that does not display sex designation. You do not need to change your registered sex designation first. Complete the Application for birth certificate form and select the option that says you do not want sex displayed on the birth certificate.   

Additional information

Since July 2020, a non-binary gender marker of "X" is available on vital event registrations and applicable certificates as part of the change of sex designation process to individuals who do not identify as male or female. 

Since March 2021, Saskatchewan residents were able to remove sex designation from their health card.  

Since August 2021, a further change was made to recognize that the original binary choices on health cards were not inclusive of all Saskatchewan residents. The display options are M, F, X, or non display.     

Have questions?

Email registrations@ehealthsask.ca.