District Judge Mark Wolf

Michelle Kosilek and Justice Ginsburg: separated at birth?

In this case, Kosilek has proven that he still has a severe gender identity disorder. Although female hormones have helped somewhat, he continues to suffer intense mental anguish because of his sincere and enduring belief that he is a female trapped in male body.

That anguish alone constitutes a serious medical need. It also places him at high risk of killing himself if his major mental illness is not adequately treated.

– Chief Judge Mark Wolf (D. Mass.), in today’s landmark ruling ordering Massachusetts to pay for convicted murderer Michelle (formerly Robert) Kosilek’s sex reassignment surgery.