The number of Texans seeking to change the sex listed on their birth certificates is on the rise, according to data from the Department of State Health Services.
DSHS released the information in response to an open records request from Texas Scorecard, revealing an upward trend in birth certificate sex changes since 2015.
| Year | Total Count | Court Order | Clerical |
| 2015 | 580 | 34 | 546 |
| 2016 | 468 | 24 | 444 |
| 2017 | 529 | 8 | 521 |
| 2018 | 228 | 13 | 215 |
| 2019 | 534 | 282 | 252 |
| 2020 | 658 | 349 | 309 |
| 2021 | 616 | 385 | 231 |
| 2022* (Partial) | 793 | 307 | 486 |
Voluntary sex changes are listed as court ordered, while clerical fixes (such as a paperwork mistake) are listed separately.
In 2015, only 34 court-ordered sex changes were recorded, compared to 385 in 2021, more than a tenfold increase in six years.
The release comes as the state Legislature is set to reconvene in less than month. Once again, ending child gender mutilation is a legislative priority of the Republican Party of Texas. Last session, proposed legislation passed the Senate but was killed repeatedly in the House.
This time, activists are demanding results.
“As we have long suspected, voluntary sex change operations are on the rise,” said Chris Hopper, the president of Texas Family Project. “The vast majority of left-wing doctors, psychiatrists, and blue-haired teachers are doing their best to funnel innocent children into the system of irreversible chaos.”
“Thankfully,” Hopper added, “the Texas GOP has made it one of their top priorities to end this idiocy. Now we watch and wait to see if lawmakers in the lone star state actually do what their constituents back home send them to the capital to do.”
Legislation has already been filed in the House and Senate. The Legislature gavels in on January 10.
