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I live in Australia, so YMMV, but for me, the things I needed to update were:
- Government/their services and programs, local and federal
- Medical things (insurance,, doctors, etc)
- Banks/Financial Institutions (I don't know how a 401k works, but that probably is included)
- Insurance
- Car registration
- Identity documents
- Wills, if you have one
- Company registrations, if you have one
Beyond that legal obligation, there is no one you have to tell if you don't feel comfortable. I took the opportunity of legally changing my name to finally come out in the rest of my life (work and uni), but you don't have to.
Also fun fact I can tell that Medicare (Australias one) definitely doesn't distinguish between trans and cis women because the week after I changed my name/gender I received a letter telling my I was due to get my cervix checked lol
So how was it?
Couldn't find one, must be terminal
Well hell
Lol, same at my primary, I mean I have had surgery now and my surgeon said to get a yearly spec check. But being asked at an urgent care if I could be pregnant when I had nausea and stomach pain was a trip.