JEFFERSON CITY, Mo (News First) – Missouri residents now will need proof of surgery or a court order to change their gender on their driver’s licenses. Missouri previously required approval from a doctor to update gender on state-issued identification. The change follows protests earlier this month against a transgender woman’s use of a women’s locker room at a suburban St. Louis gym. Several Republican state lawmakers had criticized the old process for updating gender on IDs. LGBTQ+ advocacy group PROMO says the new process is more difficult and that the change was made secretly. According to PROMO, the previous policy was made with input from Missouri transgender leaders.