Joshua M. Ferguson born as a male, lives as a female, now wants to be referred to as a 'they' which is now legal. http://www.cbc.ca/news/canada/toront...says-1.4652175

People can now choose between "M" for male, "F" for female and "X" for non-binary. They can also opt not to display a sex designation on the birth certificate at all.

Gender-neutral birth certificates are currently also available in Newfoundland and Labrador and in the Northwest Territories, and Ferguson hopes more provinces will follow suit.