On the passport, is it a US passport? If it is, then the passport can be changed with a letter from a physician saying that she has "transitioned". The US State Dept. website has info on this.
As far as the driver's license. From what I have read, it may be a little tricky as evidence of surgery may or may not be required with their DMV. I am seeing conflicting reports. However, from December 2011, someone wrote this:
"Regarding getting one's gender changed on an Illinois driver's license or ID card.. While a medical report works, one can also bring in (a) a court order changing one's legal gender or even (b) a letter from one's doctor confirming transition is in progress. Because changing gender automatically changes one's driver's license number, a person changing gender will get a new picture that day too.. hopefully reflecting the changing you :) Changing name, though... While you can go in and they can play a little with the name (like going initials-only for first and middle name), without, basically, a court order to change name (or a marriage or civil union certificate.. though obviously that can only change the last name), you can't get, say, your preferred name on the document. "
If the surgery is performed by a NON- U.S. licensed physician, the affidavit must be accompanied by an additional affidavit, "Affidavit by Physician Verifying Completion of Gender Reassignment". The additional affidavit must be completed by a physicXXXXX XXXXXcensed to practice within the United States and confirm that the gender reassignment surgery was completed.
In 2009, Illinois reversed a 2005 policy that said sex designations would not be changed of procedures were done outside the US. That policy was successfully challenged by the ACLU:
If you have the procedures done outside the country, you should get an exam by a US physician who will give you a notarized letter confirming the procedures have been completed. Non-US surgeons like Pierre Brassard have gotten licensed in the US in response.
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