[quote=@Penny] At this rate medical staff will be forced to refer to patients in they way they want to be refereed to. I don't know if I can function in a world where I have to refer to a patient as Mr Smith, rather than Johnny Organ-donor. Sad. [/quote] If any staff are not treating patients by their documentation, then perhaps they should not be in the industry. Another example being if one is a "Mrs. Smith", they can get over being momentarily "offended" by it until it is changed in the registry. Further errors from there are either just disrespect by the provider, regardless of direction - a disciplinary issue - or realistically accidental; addressing a masculine person as "sir" unintentionally. No need to invent some fantasy law to entertain the few who care. But asking people to behave as though they were adults and to get over being addressed with the wrong pronoun, particularly these invented ones, is too much to ask. Let us invent legislation to "protect" these poor people and their truly terrible "suffering".