- the inability to change your name or sex if you are not a Canadian citizen
- people under 18 years old cannot change their gender marker
- inability to apply for a change of name yourself personally if you are under 18 years old
- people still cannot change their gender marker unless they can prove that they have undergone surgery on their sexual organs and take hormone therapy. Proof of chest surgery is also sometimes requested for people seeking to change their sex to male.
- impossibility of changing your papers so that a sex designation is not listed.
- inability to obtain a birth certificate that does not list a sex designation of male or female.
- Impossible to change how a parent is listed on a birth certificate. Right now the parental category (mother or father) must match the legal sex of the parent at the time of the child's birth and can never be changed.
- Parents must chose to be a "mother" or a "father". The parental designation of "parent" is not an option.