The Wyoming Supreme Court on Tuesday considered a possible future in which the state won’t let transgender people edit their birth certificates to show a new gender – except for one, last, transgender person from Laramie.

That’s because in one high-profile case a standard appeal is unfolding over whether the 2025 What is a Woman Act applies to the Wyoming Department of Health’s treatment of birth certificates.

The act requires state agencies to keep records according to biological, not altered, sex.

Natrona County District Court Judge Joshua Eames ruled that a male-to-female transgender person, whose initials are KR, could not secure a birth certificate change because of the What is a Woman Act, and because the Wyoming vital statistics act describes birth certificates as a record of the “facts at birth.”

Meanwhile, another high-profile appeal touching the birth-certificate question reached the high court under unusual circumstances: