There’s also being uncomfortable/unsafe with legal documents. If your legal docs haven’t been changed (or are impossible to change) then your employer can see all of that and can discriminate accordingly (especially in states that do not provide protection from discrimination based on gender identity). And legal documents are used for more than just that as well. I find myself avoiding things like voting, using my bank card, and looking for higher paying employment opportunities because they’re all tied to legal docs and open up an opportunity (real or perceived) for discrimination. And don’t get me started on the cost of treatment…