The Supreme Court has rejected an appeal from a convicted murderer in Massachusetts who has been seeking taxpayer-funded sex-reassignment surgery in prison.
The justices did not comment Monday in letting stand a lower-court ruling against Michelle Kosilek. The prison inmate was born Robert Kosilek and is serving a life sentence for killing spouse Cheryl Kosilek in 1990.
The inmate has waged a lengthy fight for the surgery she says is necessary to relieve the mental anguish caused by gender-identity disorder.
Last year, a divided federal appeals court in Boston overturned a first-in-the-nation court order for the state to provide the sex-reassignment surgery.
Courts around the country have found that prisons must evaluate transgender inmates to determine their health care needs, but most have ordered hormone treatments and psychotherapy, not surgery.