Then, over three years, came a total hysterectomy, double mastectomy and genital reassignment surgery
, involving skin grafted from his arm and buttocks.
A transgender woman, Rivera had taken hormones for years and recently underwent breast augmentation, but because she hadn't had genital reassignment surgery
, she was placed in a men's prison.
3d at 224-25 (stating that Christie Lee legally changed her name in 1977, underwent corrective genital reassignment surgery
from 1979 until 1980, and was married to Jonathan Mark Littleton in 1989); see also Petition for Writ of Certiorari at 4-5, Littleton (No.