Neither state or federal laws require people to treat you as your preferred gender until you are a ‘recognised transgender person’ which requires you to have the sex amended on your birth certificate.

In all states of Australia, you are ineligible to amend your birth certificate unless you have had SRS.

Many people are unable or unwilling to complete surgery – it is costs around $50,000, is high risk, and requires up to six months off work to recover. Many people are deemed medically ineligible because of an interposed medical condition that would make surgery too risky.

These people should not be denied the right to be treated as their preferred gender, to be addressed with proper pronouns, and to be offered equivalent services as cisgender people.

An example of this is health insurance and access to medical services. Some insurance companies and medical providers only provide benefits such as breast cancer treatments to individuals that are legally female. A trans woman who has fully developed breasts, but no genital surgery, may be denied breast cancer treatment benefits merely because she cannot afford genital surgery. There are hundreds of other examples of goods and services trans people are denied because their circumstances prevent them from having surgery.

The aim of this report (and its recommendations) is to correct this form of indirect discrimination.

Hope that clarifies.