What you will need to do to change your gender on your passport is have a signed original statement, on office letterhead, from a licensed physician who has treated you for gender-related care or has evaluated your gender-related medical history. There is a full list of what this letter needs to include if you follow the link above.
All other requirements stand for whether you are getting a new passport or a renewal. If you have legally changed your name as part of the process, you must also submit for a name change.
Source: http://www.us-passport-service-guide.com/how-to-get-a-passport-after-a-gender-change.html
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