Posted: Mar 17, 2021 6:00 AM AT | Last Updated: March 17 As of March 6, Islanders can choose two new gender options on their birth certificate: 'X' or to leave the field blank.(P.E.I. Vital Statistics) The province of P.E.I. says systems are now in place to have Islanders update their birth certificates with more gender inclusive options like an "X" or leaving the field blank. A series of amendments to the Vital Statistics Act came into effect in March 2020, but the province says there was a delay in updating the gender fields on birth certificates that came down to needing a more modern software program.