Kosilek, who has received hormones for treatment of gender-identity disorder, is currently living as a female in an all-male prison. He is serving a life sentence without parole for killing his wife in 1990.
The Massachusetts Department of Corrections has previously denied Kosilek the taxpayer-funded sex-change surgery because they were concerned that he would then become a target for sexual assault. But U.S. District Judge Mark Wolf disagreed and ruled that the surgery is the "only adequate treatment" for Kosilek and the the prison officials security concerns were "either pretextual or can be dealt with."
Wolf also wrote that not to do the surgery was in violation of Kosilek's Eighth Amendment right and that he concurred with the medical experts from the Department of Corrections who testified that the only adequate medical treatment for Kosilek was to receive the surgery.
Over the years Kosilek attempted suicide twice and attempted to castrate himself.
The surgery could cost tax payers around $20,000.
Poll #1: Should tax payers have to pay for an inmate's sex-change operation?
Poll #2: If Kosilek receives the sex-change operation, should he be moved to a female prison?
See also: Federal Judge Orders Mass. to Pay for Killer's Sex Change
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