After undergoing sex change surgery, the person is no longer the same. I am no longer the man or woman I once was, I am now a new person with a new gender. That means the person has to change everything and get identification and other things like that. In a sense the person is born again. They would have to start over and get a completely new name, driver's license, bank account, medical records, birth certificate, Social Security, credit cards, and other things they need ("Medical Assistance"). People who have chosen to make the long-term goal of having the operation are most likely aware of the time and patience they need to put in to change everything. All the legal steps to do so also vary in each one