Since 2015, Zzyym, who prefers a gender-neutral pronoun, has been in a legal battle with the State Department to obtain a passport that did not require Zzyym to lie about gender by picking either male or female. The department did not identify the passport recipient, but Dana Zzyym, an intersex activist from Fort Collins, Colorado, told The Associated Press in a telephone interview that they received it. DENVER (AP) - The United States has issued its first passport with an “X” gender designation, marking a milestone in the recognition of the rights of people who do not identify as male or female, and expects to be able to offer the option more broadly next year, the State Department said Wednesday.