diff --git a/schema/drafts/5.3.0.md b/schema/drafts/5.3.0.md
index ba1cd0aba..7090d2688 100644
--- a/schema/drafts/5.3.0.md
+++ b/schema/drafts/5.3.0.md
@@ -1011,7 +1011,12 @@ If organism_ontolology_term_id
is "NCBITaxon:9606"
for
str
categories. This MUST be a descendant of PATO:0001894 for phenotypic sex or "unknown"
if unavailable.
+ str
categories. This MUST be "unknown"
if unavailable; otherwise, this MUST be one of:genetic_ancestry_Oceanian
* Added genetic_ancestry_South_Asian
* Updated the requirements for `in_tissue` to include descendants of _Visium Spatial Gene Expression_.
+ * Updated the requirements for `sex_ontology_term_id` to limit values to female, hermaphrodite, male, or `"unknown"`
* obsm (Embeddings)
* Updated the requirements for `spatial` to include descendants of _Visium Spatial Gene Expression_ and to prohibit 'Not a Number' values.
* Updated the requirements for `X_{suffix}` to include descendants of _Visium Spatial Gene Expression_.