Applicants are allowed to choose their own gender and are no longer required to submit a medical certificate if their gender does not match the gender specified in the other identification documents.
The State Department did not disclose the identity of the passport recipient, but Dana Zim, a resident of Fort Collins, Colorado, told the Associated Press in a telephone interview that it was their passport.
Zim, who uses a gender-neutral pronoun, has been fighting since 2015 to obtain a gender-neutral passport. They says that by doing so they will help the next generation of intersex people to gain recognition as full citizens.